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Individual

MR. PAUL ALAN WARNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1304 DECATUR PIKE, ATHENS, TN 37303-2418
(423) 745-1702
(423) 745-1702
Mailing address
2439 CHIMNEY RIDGE RD, KNOXVILLE, TN 37923-1059
(865) 694-9896
(423) 745-1702

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2283
GA
152W00000X
Optometrist
2942
TX
152W00000X
Optometrist
Primary
743
TN
152W00000X
Optometrist
829
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3598393
MEDICARE PTAN
TN
Enumeration date
08/28/2006
Last updated
01/13/2017
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