Provider Demographics
NPI:1144221540
Name:MORRIS, SARAH NALL (MD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:NALL
Last Name:MORRIS
Suffix:
Gender:F
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:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-316-2021
Mailing Address - Fax:704-316-2025
Practice Address - Street 1:5933 BLAKENEY PARK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277
Practice Address - Country:US
Practice Address - Phone:704-316-2021
Practice Address - Fax:704-316-2025
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200301025207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891347NMedicaid
SCN01025Medicaid
NC2013376AMedicare ID - Type Unspecified
SCN01025Medicaid