Basic Information
Provider Information
NPI: 1740316421
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRISON
FirstName: JOHN
MiddleName: F
NamePrefix: DR.
NameSuffix: III
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 94670
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731434670
CountryCode: US
TelephoneNumber: 4056823303
FaxNumber: 4053846793
Practice Location
Address1: 744 MIDDLE CREEK RD STE 208
Address2:  
City: SEVIERVILLE
State: TN
PostalCode: 378625036
CountryCode: US
TelephoneNumber: 8654469725
FaxNumber: 8654469726
Other Information
ProviderEnumerationDate: 02/26/2007
LastUpdateDate: 05/15/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X2054TNN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001X2054TNY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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