Provider Demographics
NPI:1174740054
Name:MORRIS, JOSEPH HENRY III (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:HENRY
Last Name:MORRIS
Suffix:III
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:775 POPLAR RD STE 260
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-8303
Mailing Address - Country:US
Mailing Address - Phone:770-502-2150
Mailing Address - Fax:770-502-2103
Practice Address - Street 1:775 POPLAR RD STE 260
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-8303
Practice Address - Country:US
Practice Address - Phone:770-502-2150
Practice Address - Fax:770-502-2103
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2022-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA059566208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA776369717CMedicaid
GA02BDJKSMedicare Oscar/Certification