MEDICARE: EWING & MORRIS, P.C.

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	OS003449L	PA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	OS004587L	PA
3	207RP1001X	Pulmonary Disease Physician	OS004587L	PA
4	208000000X	Pediatrics Physician	OS003439L	PA
5	207RP1001X	Pulmonary Disease Physician	OS003449L	PA

General Provider Information

NPI Number	:	1881610442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EWING & MORRIS, P.C.

Provider Business Mailing Address
First Line	:	850 TUCK ST
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-7477
Country	:	US
Telephone Number	:	717-272-8173
Fax Number	:	717-272-8422

Provider Business Practice Location Address
First Line	:	850 TUCK ST
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-7477
Country	:	US
Telephone Number	:	717-272-8173
Fax Number	:	717-272-8422

Authorized Official
Title or Position	:	OWNER
Name	:	WILSON MORRIS
Credential	:	D.O.
Telephone Number	:	717-272-8173

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	11/16/2010

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