| Morris Family Medicine | |
|
101 Millstone Dr Pearl MS 39208-8956 | |
| (601) 806-2158 | |
| (601) 806-2179 |
| Full Name | Morris Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Millstone Dr, Pearl, Mississippi |
| Authorized Official Name and Position | Jacob Brannon Morris (PHYSICIAN/OFFICE MANAGER) |
| Authorized Official Contact | 6018062158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morris Family Medicine 101 Millstone Dr Pearl MS 39208-8956 Ph: (601) 806-2158 | Morris Family Medicine 101 Millstone Dr Pearl MS 39208-8956 Ph: (601) 806-2158 |
| NPI Number | 1063149698 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/16/2022 |
| Medicare PECOS PAC ID | 7618351982 |
|---|---|
| Medicare Enrollment ID | O20220906001376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063149698 | NPI | - | NPPES |
| 1376643486 | Other | MS | OTHER PROVIDER NPI |
| 1386209500 | Other | MS | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kenneth R Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376643486 PECOS PAC ID: 7416136262 Enrollment ID: I20110125000999 |
| Provider Name | Jacob Brannon Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386209500 PECOS PAC ID: 7012248826 Enrollment ID: I20220906001892 |
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