Basic Information
| Provider Information | |||||||||
| NPI: | 1790913663 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MORRIS | ||||||||
| FirstName: | MEGAN | ||||||||
| MiddleName: | MANSELL | ||||||||
| NamePrefix: | |||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 802 GREEN VALLEY RD STE 300 | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274087099 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3362733661 | ||||||||
| FaxNumber: | 3362739438 | ||||||||
| Practice Location | |||||||||
| Address1: | 802 GREEN VALLEY RD STE 300 | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274087099 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3362733661 | ||||||||
| FaxNumber: | 3362739438 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2009 | ||||||||
| LastUpdateDate: | 03/06/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 2013-00888 | NC | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.