Provider Demographics
NPI:1477595643
Name:MORRIS, DAVID G (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:G
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:415 S 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-7246
Mailing Address - Country:US
Mailing Address - Phone:601-288-8282
Mailing Address - Fax:601-579-5240
Practice Address - Street 1:301 S 28TH AVE
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-7233
Practice Address - Country:US
Practice Address - Phone:601-288-8282
Practice Address - Fax:601-288-8290
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS19294207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS6380795OtherCIGNA
MS6057890OtherHEALTHSPRING
MS7370804OtherAETNA
MS2682429OtherUNITED HEALTHCARE
MS09738012Medicaid
MS929978OtherWINDSOR HEALTH PLAN
MS302I839806OtherMEDICARE
MS6380795OtherCIGNA
MS0685410004Medicare NSC
MSI569431Medicare UPIN
MS302I839806OtherMEDICARE
MS6057890OtherHEALTHSPRING
MS7370804OtherAETNA
0685410003Medicare NSC