Basic Information
Provider Information
NPI: 1003011859
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRIS
FirstName: MELANIE
MiddleName: SANDERS
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: UAB SURGERY GI SECTION
Address2: 1922 7TH AVE S 406 KRACKE BLDG
City: BIRMINGHAM
State: AL
PostalCode: 352940001
CountryCode: US
TelephoneNumber: 2059345147
FaxNumber:  
Practice Location
Address1: UAB SURGERY GI SECTION
Address2: 1922 7TH AVE S 406 KRACKE BLDG
City: BIRMINGHAM
State: AL
PostalCode: 352940001
CountryCode: US
TelephoneNumber: 2059345147
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/20/2007
LastUpdateDate: 07/16/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X30315ALY Allopathic & Osteopathic PhysiciansSurgery 
208600000XLL16072ORN Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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