MEDICARE: MORGAN SPURLOCK DO

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	0000003832	TN

General Provider Information

NPI Number	:	1982133559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN SPURLOCK DO

Provider Business Mailing Address
First Line	:	2519 WILLOW POINT WAY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37931-3162
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2519 WILLOW POINT WAY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37931-3162
Country	:	US
Telephone Number	:	865-694-9349
Fax Number	:

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

Provider Enumeration Date	:	06/07/2017
Last Update Date	:	08/04/2020

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