Provider Demographics
NPI:1801804968
Name:MORSE, ERIC DALTON (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:DALTON
Last Name:MORSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1225 N BLOUNT ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-1459
Mailing Address - Country:US
Mailing Address - Phone:919-673-9681
Mailing Address - Fax:
Practice Address - Street 1:8300 HEALTH PARK
Practice Address - Street 2:CAROLINA PERFORMANCE - SUITE 201
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615
Practice Address - Country:US
Practice Address - Phone:919-673-9681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0099-014452084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC944397Medicare UPIN