Provider Demographics
NPI:1649365297
Name:MORRISON, JAMIE CHRISTOPHER (PA-C)
Entity type:Individual
Prefix:MR
First Name:JAMIE
Middle Name:CHRISTOPHER
Last Name:MORRISON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:5471 CHAMBLEE DUNWOODY RD
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338
Mailing Address - Country:US
Mailing Address - Phone:770-481-0889
Mailing Address - Fax:770-481-0986
Practice Address - Street 1:5471 CHAMBLEE DUNWOODY RD
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338
Practice Address - Country:US
Practice Address - Phone:770-481-0889
Practice Address - Fax:770-481-0986
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA004678363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA97WCJSWMedicare PIN
GAQ73226Medicare UPIN