Provider Demographics
NPI:1396070678
Name:MORRIS, DAVID P (DC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:P
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 CAITLIN TRL
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-8374
Mailing Address - Country:US
Mailing Address - Phone:404-510-0171
Mailing Address - Fax:
Practice Address - Street 1:210 ROBERT ROSE DR STE D
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-6365
Practice Address - Country:US
Practice Address - Phone:615-225-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR00383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0000002567OtherCHIROPRACTIC LICENSE
GACHIR006383OtherCHIROPRACTIC LICENSE