Provider Demographics
NPI:1861403115
Name:MORRISON, DOYLE ALEX (MD)
Entity type:Individual
Prefix:DR
First Name:DOYLE
Middle Name:ALEX
Last Name:MORRISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:409 BERKSHIRE DRIVE
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157
Mailing Address - Country:US
Mailing Address - Phone:601-853-3680
Mailing Address - Fax:
Practice Address - Street 1:971 LAKELAND DRIVE
Practice Address - Street 2:SUITE 1059 UROLOGY CARE CENTER
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4609
Practice Address - Country:US
Practice Address - Phone:601-982-9333
Practice Address - Fax:601-982-9320
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS08681208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B66185Medicare UPIN