Doctor Name: | MR. WILLIAM GAINEY MORROZOFF |
NPI Number: | 1437156767 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-BC |
License Number: | 201042 |
Business Practice Address: | 15 W Third St Parkton, NC - 283710128 |
Business Phone Number: | 9108583913 |
Business Fax Number: | 9108583610 |
Mailing Address: | Po Box 128, PARKTON |
State: | NC |
Postal Code: | 283710128 |
Phone Number: | 9108583913 |
Fax Number: | 9108583610 |
NPI Enumeration Date: | 07/01/2005 |
NPI Last Update Date: | 04/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |