Provider Demographics
NPI:1710936364
Name:MORRIS, DEBORAH LYNN (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LYNN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3947 DUNN RD # 304
Mailing Address - Street 2:
Mailing Address - City:EASTOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28312-8533
Mailing Address - Country:US
Mailing Address - Phone:910-483-6277
Mailing Address - Fax:910-483-6369
Practice Address - Street 1:3551 DUNN RD STE 101
Practice Address - Street 2:
Practice Address - City:EASTOVER
Practice Address - State:NC
Practice Address - Zip Code:28312-9417
Practice Address - Country:US
Practice Address - Phone:910-483-6277
Practice Address - Fax:910-483-6369
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9300544207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8960876Medicaid
NCF65097Medicare UPIN
NC8960876Medicaid