Provider Demographics
NPI:1477856417
Name:MORRISON ORTHOPEDICS, P.C.
Entity Type:Organization
Organization Name:MORRISON ORTHOPEDICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-919-1190
Mailing Address - Street 1:1750 POWDER SPRINGS RD SW
Mailing Address - Street 2:STE 510
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-4850
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1750 POWDER SPRINGS RD SW
Practice Address - Street 2:STE 510
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-4850
Practice Address - Country:US
Practice Address - Phone:770-919-1190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-14
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA027613174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00306732AMedicaid
GA00306732AMedicaid