Provider Demographics
NPI:1386656619
Name:MORROW, STANLEY K (DO)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:K
Last Name:MORROW
Suffix:
Gender:M
Credentials:DO
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 221
Mailing Address - Street 2:34867 HWY 43
Mailing Address - City:HACKLEBURG
Mailing Address - State:AL
Mailing Address - Zip Code:35564
Mailing Address - Country:US
Mailing Address - Phone:205-935-3744
Mailing Address - Fax:205-935-3779
Practice Address - Street 1:34867 HWY 43
Practice Address - Street 2:
Practice Address - City:HACKLEBURG
Practice Address - State:AL
Practice Address - Zip Code:35564
Practice Address - Country:US
Practice Address - Phone:205-935-3744
Practice Address - Fax:205-935-3779
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO141207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL541385101Medicaid
TN013851OtherRURAL HEALTH MEDICARE BC
AL000077906OtherBLUE CROSS
AL541390401Medicaid
TN013851OtherRURAL HEALTH MEDICARE BC
AL013904Medicare ID - Type Unspecified
AL541390401Medicaid
AL15913Medicare ID - Type Unspecified