Provider Demographics
NPI:1053770842
Name:MORROW, RICHARD
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:MORROW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9123 CROSS PARK DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4552
Mailing Address - Country:US
Mailing Address - Phone:865-309-5910
Mailing Address - Fax:865-249-6971
Practice Address - Street 1:9123 CROSS PARK DR
Practice Address - Street 2:SUITE 250
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4552
Practice Address - Country:US
Practice Address - Phone:865-309-5910
Practice Address - Fax:865-249-6971
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ017979Medicaid