Basic Information
| Provider Information | |||||||||
| NPI: | 1285610295 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | POLLOCK | ||||||||
| FirstName: | MORRIS | ||||||||
| MiddleName: | ARTHUR | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2417 ATRIUM DR | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276076673 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9197912040 | ||||||||
| FaxNumber: | 9197912041 | ||||||||
| Practice Location | |||||||||
| Address1: | 2417 ATRIUM DR | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276076673 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9197912040 | ||||||||
| FaxNumber: | 9197912041 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/21/2005 | ||||||||
| LastUpdateDate: | 07/15/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 00-20680 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 289323 | 01 | NC | MAMSI | OTHER | 1112645 | 01 | NC | CIGNA | OTHER | 95083 | 01 | NC | MEDCOST | OTHER | 58343 | 01 | NC | BCBS | OTHER | 100013962 | 01 | NC | RAILROAD MEDICARE | OTHER | 30628 | 01 | NC | PARTNERS | OTHER | 8968343 | 05 | NC | MEDICAID | 2950434 | 01 | NC | UNITED | OTHER | 4221530 | 01 | NY | AETNA | OTHER |