Provider Demographics
NPI:1689000598
Name:MORRISON, SCOTT EDWARD (PA-C)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:EDWARD
Last Name:MORRISON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2350 SCHILLINGER RD S
Mailing Address - Street 2:STE A
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-4177
Mailing Address - Country:US
Mailing Address - Phone:251-445-7614
Mailing Address - Fax:251-410-6127
Practice Address - Street 1:2350 SCHILLINGER RD S
Practice Address - Street 2:STE A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-4177
Practice Address - Country:US
Practice Address - Phone:251-445-7614
Practice Address - Fax:251-410-6127
Is Sole Proprietor?:No
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL920363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant