Basic Information
| Provider Information | |||||||||
| NPI: | 1255784237 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MORSE CLINIC OF ZEBULON PC | ||||||||
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| OtherOrganizationName: | MORSE CLINIC OF ZEBULON | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 877 E GANNON AVE | ||||||||
| Address2: | SUITE 103-104 | ||||||||
| City: | ZEBULON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275979314 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192697345 | ||||||||
| FaxNumber: | 9192697345 | ||||||||
| Practice Location | |||||||||
| Address1: | 877 E GANNON AVE | ||||||||
| Address2: | SUITE 103-104 | ||||||||
| City: | ZEBULON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275979314 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192697345 | ||||||||
| FaxNumber: | 9192697345 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2016 | ||||||||
| LastUpdateDate: | 05/05/2017 | ||||||||
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| AuthorizedOfficialLastName: | MORSE | ||||||||
| AuthorizedOfficialFirstName: | ERIC | ||||||||
| AuthorizedOfficialMiddleName: | D | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 9196739681 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM2800X | Y | Ambulatory Health Care Facilities | Clinic/Center | Methadone Clinic |
No ID Information.