| Organization Name: | MORRIS MEDICAL GROUP PLLC |
| NPI Number: | 1922410935 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JERRY W MORRIS (MANAGING MEMBER) |
| Mailing Address: | 1941 Bishop Ln #508 Louisville |
| State: | KY US |
| Postal Code: | 402181922 |
| Phone Number: | 8177397641 |
| Fax Number: | 8172880758 |
| NPI Enumeration Date: | 05/24/2014 |
| NPI Last Update Date: | 05/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 03530 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |