MEDICARE: MORPHIS PEDIATRIC GROUP

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
1	208000000X	Pediatrics Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1801953856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORPHIS PEDIATRIC GROUP

Provider Business Mailing Address
First Line	:	708 MEDICAL PARK DR
Second Line	:
City	:	HARTSVILLE
State	:	SC
Zip	:	29550-4765
Country	:	US
Telephone Number	:	843-332-5121
Fax Number	:	843-332-0993

Provider Business Practice Location Address
First Line	:	708 MEDICAL PARK DR
Second Line	:
City	:	HARTSVILLE
State	:	SC
Zip	:	29550-4765
Country	:	US
Telephone Number	:	843-332-5121
Fax Number	:	843-332-0993

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES OSCAR MORPHIS
Credential	:	M.D.
Telephone Number	:	843-332-5121

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	08/22/2020

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Directions to “MORPHIS PEDIATRIC GROUP ” Practice Location

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