Provider Demographics
NPI:1790369668
Name:MORRIS, DAVID O'NEAL JR (CHIROPRACTOR)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:O'NEAL
Last Name:MORRIS
Suffix:JR
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 LISA RD
Mailing Address - Street 2:
Mailing Address - City:HOMERVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31634-1512
Mailing Address - Country:US
Mailing Address - Phone:912-520-1448
Mailing Address - Fax:
Practice Address - Street 1:53 LISA RD
Practice Address - Street 2:
Practice Address - City:HOMERVILLE
Practice Address - State:GA
Practice Address - Zip Code:31634-1512
Practice Address - Country:US
Practice Address - Phone:912-520-1448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004765111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor