Provider Demographics
NPI:1922565365
Name:BURRUSS, MORGAN RUSSELL (PA-C)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:RUSSELL
Last Name:BURRUSS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:PERRY
Other - Last Name:RUSSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:833 ST VINCENTS DRIVE
Mailing Address - Street 2:SUITE #402
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205
Mailing Address - Country:US
Mailing Address - Phone:205-933-9236
Mailing Address - Fax:205-918-1344
Practice Address - Street 1:833 ST VINCENTS DRIVE
Practice Address - Street 2:SUITE #402
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205
Practice Address - Country:US
Practice Address - Phone:205-933-9236
Practice Address - Fax:205-918-1344
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant