Provider Demographics
NPI:1184717951
Name:MORRIS, SHANA LEIGH (DC)
Entity type:Individual
Prefix:DR
First Name:SHANA
Middle Name:LEIGH
Last Name:MORRIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 HIGHWAY 76 STE E
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30705-7314
Mailing Address - Country:US
Mailing Address - Phone:706-259-5599
Mailing Address - Fax:706-695-9003
Practice Address - Street 1:1415 HIGHWAY 76 STE E
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:GA
Practice Address - Zip Code:30705-7314
Practice Address - Country:US
Practice Address - Phone:706-259-5599
Practice Address - Fax:706-695-9003
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006008111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCHKRMedicare ID - Type Unspecified
GAU76914Medicare UPIN