Doctor Name: | ANGELA ALLEN MORRIS |
NPI Number: | 1124341631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 4106 |
Business Practice Address: | 500 Thurgood Marshall Hwy Suite F Kingstree, SC - 295564143 |
Business Phone Number: | 8433551774 |
Business Fax Number: | 8433551775 |
Mailing Address: | 500 Thurgood Marshall Hwy, Suite F KINGSTREE |
State: | SC |
Postal Code: | 295564143 |
Phone Number: | 8433551774 |
Fax Number: | 8433551775 |
NPI Enumeration Date: | 03/11/2010 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |