Provider Demographics
NPI:1295791184
Name:MORRIS, WINSTON B (MD)
Entity type:Individual
Prefix:DR
First Name:WINSTON
Middle Name:B
Last Name:MORRIS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:325 BROAD ST
Mailing Address - Street 2:STE 100
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-4167
Mailing Address - Country:US
Mailing Address - Phone:803-773-5227
Mailing Address - Fax:803-753-9312
Practice Address - Street 1:4700 FOREST DR
Practice Address - Street 2:SUITE 101
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-3119
Practice Address - Country:US
Practice Address - Phone:803-773-5227
Practice Address - Fax:803-753-9312
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2016-05-12
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Provider Licenses
StateLicense IDTaxonomies
SC20856207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC208563Medicaid
H00018Medicare UPIN