Provider Demographics
NPI:1396948618
Name:MORRIS, CARRSON MCDOWELL (DC)
Entity type:Individual
Prefix:DR
First Name:CARRSON
Middle Name:MCDOWELL
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 EAST ST SE STE 103
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4800
Mailing Address - Country:US
Mailing Address - Phone:703-255-6522
Mailing Address - Fax:703-255-6524
Practice Address - Street 1:100 EAST ST. SE SUITE 103
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:22180
Practice Address - Country:US
Practice Address - Phone:703-255-6522
Practice Address - Fax:703-255-6524
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556108111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor