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NPI Code Detail

MEDICARE: MR. MARION A MORROW III

MEDICARE: MR. MARION A MORROW III
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
1343900000XNon-emergency Medical Transport (VAN)112004156TN

General Provider Information

NPI Number : 1861835415
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARION A MORROW III
Provider Business Mailing Address
First Line : 8053 LAUREL LAKE CV
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-3852
Country : US
Telephone Number : 901-283-5555
Fax Number : 888-965-9561
Provider Business Practice Location Address
First Line : 8053 LAUREL LAKE CV
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-3852
Country : US
Telephone Number : 901-283-5555
Fax Number : 888-965-9561
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2013
Last Update Date : 04/14/2013

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