Morris, George Walter

Morris, George Walter is an individual health care provider with primary practice located at 207 Commerce Ave , Chesterfield SC 29709. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Morris, George Walter can be contacted via phone (843) 623-2229.

Contact Information

Primary practice address
207 Commerce Ave Chesterfield SC 29709
Phone: (843) 623-2229
Fax: (843) 623-2553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X South Carolina

Profile Details

NPI number 1285776013
LBN Legal business name Morris, George Walter
Credentials M DIV
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285776013 NPPES
South Carolina MEDICAID 405127

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