Provider Demographics
NPI:1417964818
Name:MORRIS, CULLEN D (MD)
Entity Type:Individual
Prefix:
First Name:CULLEN
Middle Name:D
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1199 PRINCE AVE
Mailing Address - Street 2:MEDICAL SERVICES BUILDING, 2ND FLOOR
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-2797
Mailing Address - Country:US
Mailing Address - Phone:706-475-1950
Mailing Address - Fax:706-475-1955
Practice Address - Street 1:1199 PRINCE AVE
Practice Address - Street 2:MEDICAL SERVICES BUILDING, 2ND FLOOR
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2797
Practice Address - Country:US
Practice Address - Phone:706-475-1950
Practice Address - Fax:706-475-1955
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2014-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA044285208600000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery