Provider Demographics
NPI:1538118815
Name:MORROW, R DOUG (DO, FACEP, PA)
Entity Type:Individual
Prefix:DR
First Name:R
Middle Name:DOUG
Last Name:MORROW
Suffix:
Gender:M
Credentials:DO, FACEP, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 627
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-0627
Mailing Address - Country:US
Mailing Address - Phone:863-990-5136
Mailing Address - Fax:
Practice Address - Street 1:46 SHIELDS RD
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35811-7800
Practice Address - Country:US
Practice Address - Phone:863-990-5136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS4602207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL204463594OtherTAX ID - COMMERICAL
FLP00316202OtherRR MEDICARE
FLDE7914OtherRR MEDICARE GRP #
E14527Medicare UPIN
FL82560TMedicare ID - Type Unspecified