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NPI Code Detail

MEDICARE: MR. CHARLES E MORRIS JR.

MEDICARE: MR. CHARLES E MORRIS JR.
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
1347C00000XPrivate VehicleTHS-3613NC

General Provider Information

NPI Number : 1922704733
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHARLES E MORRIS JR.
Provider Business Mailing Address
First Line : 2691 ALDERNEY LN
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-4732
Country : US
Telephone Number : 919-599-3204
Fax Number :
Provider Business Practice Location Address
First Line : 2691 ALDERNEY LN
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-4732
Country : US
Telephone Number : 919-599-3204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2023
Last Update Date : 02/02/2023

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Directions to “ MR. CHARLES E MORRIS JR. ” Practice Location

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