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NPI Code Detail

MEDICARE: JAMES TYBIRIUS MORRISON

MEDICARE: JAMES TYBIRIUS MORRISON
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1689513426
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES TYBIRIUS MORRISON
Provider Business Mailing Address
First Line : 1607 BURGIE ST
Second Line :
City : ELIZABETHTON
State : TN
Zip : 37643-2814
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 147 SYCAMORE ST
Second Line :
City : PIKEVILLE
State : KY
Zip : 41501-9118
Country : US
Telephone Number : 606-218-5511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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