Morris, Andrea Nicole
Morris, Andrea Nicole is an individual health care provider with primary practice located at 2600 Fifth Street North , Columbus MS 39705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Morris, Andrea Nicole can be contacted via phone (662) 244-2960.Contact Information
Primary practice address
2600 Fifth Street North
Columbus MS 39705
Phone: (662) 244-2960
Fax: (662) 244-2964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22169 | Mississippi |
Profile Details
| NPI number | 1114156858 |
|---|---|
| LBN Legal business name | Morris, Andrea Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2009 |
| Last updated | Oct 21st, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114156858 | NPPES |
| Mississippi | MEDICAID | 64623 |
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