Provider Demographics
NPI:1821038803
Name:MORROW, JOHN ANDREW JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ANDREW
Last Name:MORROW
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:J.
Other - Middle Name:ANDREW
Other - Last Name:MORROW
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:217 LAKEWOOD DR E
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-2248
Mailing Address - Country:US
Mailing Address - Phone:251-591-1304
Mailing Address - Fax:
Practice Address - Street 1:217 LAKEWOOD DR E
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-2248
Practice Address - Country:US
Practice Address - Phone:251-591-1304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19801207RC0000X
AL16552207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-87596OtherBLUE CROSS BLUE SHIELD
AL000087596Medicaid
AL510-87596OtherBLUE CROSS BLUE SHIELD