Provider Demographics
NPI:1114947314
Name:MORRIS, HAROLD HOLLINGWORTH III (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:HOLLINGWORTH
Last Name:MORRIS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 HEATHER LN
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-8020
Mailing Address - Country:US
Mailing Address - Phone:802-656-4588
Mailing Address - Fax:802-656-5678
Practice Address - Street 1:1 S PROSPECT ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-3456
Practice Address - Country:US
Practice Address - Phone:802-656-4588
Practice Address - Fax:802-656-5678
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1010891Medicaid
NY02548727Medicaid
VTMOVN3623Medicare ID - Type Unspecified
NY02548727Medicaid