Provider Demographics
NPI:1184133274
Name:MORRIS, SHAWN LAMONT
Entity type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:LAMONT
Last Name:MORRIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2945 HOPE MILLS RD STE 112
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-8261
Mailing Address - Country:US
Mailing Address - Phone:910-366-5254
Mailing Address - Fax:877-745-8339
Practice Address - Street 1:2945 HOPE MILLS RD STE 112
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-8261
Practice Address - Country:US
Practice Address - Phone:910-366-5254
Practice Address - Fax:877-745-8339
Is Sole Proprietor?:No
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management