NPI 1881132512

Kenneth Morris

Practitioner Contractor Fayetteville, GA

Practice location

Address: 155 Timberlane Dr, Fayetteville, GA 30214-1335
Phone: (770) 461-4252
Fax: (770) 347-8802

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence M1199 (GA)

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Registry record

NPI: 1881132512
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Feb 2017
Record last updated: 1 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.