Organization
RANDY L WARREN MD PLLC
Active
Other names
Randy L Warren MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY L WARREN M.D. (OWNER/MEMBER)
(304) 766-6666
Entity
Organization
Contact information
Practice address
4501 MACCORKLE AVE SW, SUITE 202, CHARLESTON, WV 25309-1444
(304) 766-6666
(304) 766-0999
Mailing address
4501 MACCORKLE AVE SW, SUITE 202, CHARLESTON, WV 25309-1444
(304) 766-6666
(304) 766-0999
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21827
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002129
—
WV
Enumeration date
03/25/2008
Last updated
03/25/2008
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