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NPI Code Detail

MEDICARE: DR. MORRIS SHEPPARD MINTON M,D,

MEDICARE:  DR. MORRIS SHEPPARD MINTON  M,D,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician19072NC

General Provider Information

NPI Number : 1669477303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MORRIS SHEPPARD MINTON M,D,
Provider Business Mailing Address
First Line : 2224 RICHARDSON DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-3265
Country : US
Telephone Number : 704-362-5034
Fax Number :
Provider Business Practice Location Address
First Line : 315 YADKIN ST
Second Line :
City : ALBEMARLE
State : NC
Zip : 28001-3441
Country : US
Telephone Number : 704-982-4480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2005
Last Update Date : 07/09/2007

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Directions to “ DR. MORRIS SHEPPARD MINTON M,D,” Practice Location

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