Provider Demographics
NPI:1225012602
Name:MORRIS, SANDRA LYNN (MMSC, PA-C)
Entity Type:Individual
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First Name:SANDRA
Middle Name:LYNN
Last Name:MORRIS
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Gender:F
Credentials:MMSC, PA-C
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Mailing Address - Street 1:7300 RANCH ROAD 2222, BUILDING 1, STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730
Mailing Address - Country:US
Mailing Address - Phone:512-628-0465
Mailing Address - Fax:512-233-2711
Practice Address - Street 1:710 NEWNAN CROSSING BYPASS
Practice Address - Street 2:SUITE A
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-2321
Practice Address - Country:US
Practice Address - Phone:770-251-5111
Practice Address - Fax:770-254-8680
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2023-03-31
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Provider Licenses
StateLicense IDTaxonomies
GA003094363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant