Provider Demographics
NPI:1528096385
Name:MORROW, GREGORY DARRELL (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:DARRELL
Last Name:MORROW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:500 HALLIARD LN
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-1243
Mailing Address - Country:US
Mailing Address - Phone:024-626-4792
Mailing Address - Fax:888-960-8904
Practice Address - Street 1:1310 SOUTHERN AVE., SE
Practice Address - Street 2:OR SUITES
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-2003
Practice Address - Country:US
Practice Address - Phone:202-462-6479
Practice Address - Fax:888-960-8904
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2025-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD21778208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7311044Medicaid
DC024525400Medicaid
MD852102601Medicaid
MD852102601Medicaid
VA7311044Medicaid