Provider Demographics
NPI:1881786895
Name:A. W. MORRISS M.D., P.C.
Entity type:Organization
Organization Name:A. W. MORRISS M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:MORRISS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-337-3491
Mailing Address - Street 1:273 HANGERS MILL RD
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24421-2420
Mailing Address - Country:US
Mailing Address - Phone:540-337-3491
Mailing Address - Fax:
Practice Address - Street 1:96 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2332
Practice Address - Country:US
Practice Address - Phone:540-932-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101029674174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0003558OtherANTHEM
VA278536OtherSOUTHERN HEALTH
VA278536OtherSOUTHERN HEALTH