MEDICARE: DAVID C MORRIS M.D.

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	207Q00000X	Family Medicine Physician	MD 9354	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00305516	OTHER	SC	SC MEDICARE RR

General Provider Information

NPI Number	:	1952490864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID C MORRIS M.D.

Provider Business Mailing Address
First Line	:	1910 GREGG ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2618
Country	:	US
Telephone Number	:	803-779-1420
Fax Number	:	803-931-0676

Provider Business Practice Location Address
First Line	:	3630 SUNSET BLVD
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-3052
Country	:	US
Telephone Number	:	803-779-1420
Fax Number	:	803-931-0676

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	11/13/2007

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Directions to “ DAVID C MORRIS M.D.” Practice Location

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