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NPI Code Detail

MEDICARE: WALTER GLENN MORRIS D.O.

MEDICARE: WALTER GLENN MORRIS D.O.
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
1207L00000XAnesthesiology PhysicianOS008684LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740263649
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALTER GLENN MORRIS D.O.
Provider Business Mailing Address
First Line : PO BOX 2585
Second Line :
City : COLUMBUS
State : GA
Zip : 31902-2585
Country : US
Telephone Number : 706-660-8505
Fax Number : 706-660-9390
Provider Business Practice Location Address
First Line : 100 FAIRFIELD DR
Second Line :
City : SENECA
State : PA
Zip : 16346-2130
Country : US
Telephone Number : 814-676-7843
Fax Number : 814-676-7838
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2005
Last Update Date : 01/29/2012

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