Provider Demographics
NPI:1023069580
Name:MORRISON, JAMES JEFFREY (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:JEFFREY
Last Name:MORRISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 N OAKLEY LN
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-1230
Mailing Address - Country:US
Mailing Address - Phone:864-494-5096
Mailing Address - Fax:
Practice Address - Street 1:218 E BLACKSTOCK RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-2607
Practice Address - Country:US
Practice Address - Phone:864-576-8646
Practice Address - Fax:864-576-8932
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11909207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E01119Medicare UPIN