Provider Demographics
NPI:1487918900
Name:MORRIS, SEGER STACY (DO)
Entity type:Individual
Prefix:DR
First Name:SEGER
Middle Name:STACY
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3283 SHADOWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-6030
Mailing Address - Country:US
Mailing Address - Phone:239-560-5346
Mailing Address - Fax:
Practice Address - Street 1:3283 SHADOWOOD LN
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-6030
Practice Address - Country:US
Practice Address - Phone:239-560-5346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS22947207R00000X
MST-2582207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine