Provider Demographics
NPI:1194812776
Name:MORRIS, TERRI P (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:TERRI
Middle Name:P
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 LAFAYETTE BLVD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-4130
Mailing Address - Country:US
Mailing Address - Phone:540-371-7118
Mailing Address - Fax:540-371-3248
Practice Address - Street 1:3501 LAFAYETTE BLVD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-4130
Practice Address - Country:US
Practice Address - Phone:540-371-7118
Practice Address - Fax:540-371-3248
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101056982207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004975OtherAAD NUMBER
VA070011696OtherRAILROAD MEDICARE
VA333606OtherANTHEM BC BS
VA5901090Medicaid
VA98636OtherMED FLEX NUMBER
VAC07097OtherMEDICARE GROUP NUMBER
VA10394897OtherCAGH NUMBER
VA49D0943829OtherCLIA NUMBER
VA10394897OtherCAGH NUMBER
VA5901090Medicaid