Provider Demographics
NPI:1912985243
Name:MORRIS, AMY M (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:M
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4310 OLD SHELL RD
Mailing Address - Street 2:D
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-2049
Mailing Address - Country:US
Mailing Address - Phone:251-343-9100
Mailing Address - Fax:251-343-9125
Practice Address - Street 1:4310 OLD SHELL RD
Practice Address - Street 2:D
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-2049
Practice Address - Country:US
Practice Address - Phone:251-343-9100
Practice Address - Fax:251-343-9125
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2010-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL18462207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529914000Medicaid
AL18462OtherLICENSE
AL529914000Medicaid
AL18462OtherLICENSE