Provider Demographics
NPI:1508398041
Name:MORRISON, SARAI (MD)
Entity Type:Individual
Prefix:
First Name:SARAI
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAI
Other - Middle Name:
Other - Last Name:MCMILLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3920A BRIDGE RD STE 207
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-1118
Mailing Address - Country:US
Mailing Address - Phone:757-983-2200
Mailing Address - Fax:757-983-2201
Practice Address - Street 1:3920A BRIDGE RD STE 207
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-1118
Practice Address - Country:US
Practice Address - Phone:757-983-2200
Practice Address - Fax:757-983-2201
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0101269961207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program