Provider Demographics
NPI:1861835415
Name:MORROW, MARION A III
Entity Type:Individual
Prefix:MR
First Name:MARION
Middle Name:A
Last Name:MORROW
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8053 LAUREL LAKE CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-3852
Mailing Address - Country:US
Mailing Address - Phone:901-283-5555
Mailing Address - Fax:888-965-9561
Practice Address - Street 1:8053 LAUREL LAKE CV
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-3852
Practice Address - Country:US
Practice Address - Phone:901-283-5555
Practice Address - Fax:888-965-9561
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-14
Last Update Date:2013-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN112004156343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)