Provider Demographics
NPI:1255784237
Name:MORSE CLINIC OF ZEBULON PC
Entity type:Organization
Organization Name:MORSE CLINIC OF ZEBULON PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:D
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-673-9681
Mailing Address - Street 1:877 E GANNON AVE
Mailing Address - Street 2:SUITE 103-104
Mailing Address - City:ZEBULON
Mailing Address - State:NC
Mailing Address - Zip Code:27597-9314
Mailing Address - Country:US
Mailing Address - Phone:919-269-7345
Mailing Address - Fax:919-269-7345
Practice Address - Street 1:877 E GANNON AVE
Practice Address - Street 2:SUITE 103-104
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-9314
Practice Address - Country:US
Practice Address - Phone:919-269-7345
Practice Address - Fax:919-269-7345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-14
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone