Individual
DR. PHILLIP DAVID WARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2527256
SC
208000000X
Pediatrics Physician
2527256
SC
208M00000X
Hospitalist Physician
Primary
27256
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272564
—
SC
01
—
P00615399
RAILROAD MEDICARE ID
SC
01
—
P00727202
RAILROAD MEDICARE ID-RSFPP
SC
Enumeration date
10/10/2006
Last updated
06/17/2016
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