Individual
JOHN MARLIN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNMT
Contact information
Practice address
5604 WENDY BAGWELL PKWY, SUITE 911, HIRAM, GA 30141-7809
(678) 384-1711
(678) 384-1721
Mailing address
1145 FAIRWOOD CLOSE NW, ACWORTH, GA 30101-4689
(678) 384-1711
(678) 229-3401
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
007652
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007652
NMTCB
GA
Enumeration date
06/26/2007
Last updated
07/08/2007
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