Provider Demographics
NPI:1417944133
Name:MORRISON, MARION E (MD)
Entity Type:Individual
Prefix:DR
First Name:MARION
Middle Name:E
Last Name:MORRISON
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 1:2804 MATTLYN CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-6510
Mailing Address - Country:US
Mailing Address - Phone:919-291-1375
Mailing Address - Fax:973-241-9723
Practice Address - Street 1:2804 MATTLYN CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-6510
Practice Address - Country:US
Practice Address - Phone:919-291-1375
Practice Address - Fax:973-241-9723
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-29
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9400943207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8960881Medicaid
NC8960881Medicaid
NCE60000Medicare UPIN