Provider Demographics
NPI:1235185315
Name:MORRIS, JOHN THOMAS III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:THOMAS
Last Name:MORRIS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:780 TRUSE PKWY
Mailing Address - Street 2:STE 102
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-5361
Mailing Address - Country:US
Mailing Address - Phone:901-288-6255
Mailing Address - Fax:
Practice Address - Street 1:7640 WOLF RIVER CIR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38138-1744
Practice Address - Country:US
Practice Address - Phone:901-755-0208
Practice Address - Fax:901-767-3884
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2020-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD29278207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00077021OtherRAILROAD MEDICARE
GAP00077021OtherRAILROAD MEDICARE
TN38157222Medicare PIN