Basic Information
Provider Information
NPI: 1336188580
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRIS
FirstName: TUWANNA
MiddleName: YVETTE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6095 PROFESSIONAL PKWY
Address2: SUITE A-210
City: DOUGLASVILLE
State: GA
PostalCode: 301345607
CountryCode: US
TelephoneNumber: 7709494188
FaxNumber: 7709491614
Practice Location
Address1: 700 2ND ST NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200028100
CountryCode: US
TelephoneNumber: 2023463000
FaxNumber: 2023463902
Other Information
ProviderEnumerationDate: 06/05/2006
LastUpdateDate: 06/28/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X053504GAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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