Individual
MR. DAVID HUDSON WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 N. TRADE STREET, MATTHEWS, NC 28105-6755
(704) 289-3334
Mailing address
1200 OVER STREAM LN, MATTHEWS, NC 28105-6755
(704) 289-3334
(704) 844-8156
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704597
—
NC
Enumeration date
06/09/2014
Last updated
06/09/2014
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