Provider Demographics
NPI:1295847705
Name:MORTON, TERRENCE D JR (MD)
Entity type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:D
Last Name:MORTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2797 NC 55 HWY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-6206
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:401-652-1559
Practice Address - Street 1:2797 NC 55 HWY
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-6206
Practice Address - Country:US
Practice Address - Phone:919-387-1075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT62476207P00000X
NY295352207P00000X
NH19359207P00000X
NJ25MA09939600207P00000X
MI4301110566207P00000X
MDD80574207P00000X
IN01076152A207P00000X
KYTP849207P00000X
NC32611207P00000X
MN30362207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2349059Medicare UPIN
MD234182Medicare UPIN