Provider Demographics
NPI:1205882255
Name:MORRIS, JUDI
Entity type:Individual
Prefix:DR
First Name:JUDI
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:JUDI
Other - Middle Name:
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:5215 KINGS WOOD LN
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-5612
Mailing Address - Country:US
Mailing Address - Phone:540-644-1119
Mailing Address - Fax:540-644-1166
Practice Address - Street 1:5215 KINGS WOOD LN
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-5612
Practice Address - Country:US
Practice Address - Phone:540-644-1119
Practice Address - Fax:540-644-1166
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555958111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA190000706Medicare PIN