Individual
DR. RANDY T WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
690 DALLAS HWY STE 201, VILLA RICA, GA 30180-1263
(678) 840-8444
Mailing address
690 DALLAS HWY STE 201, VILLA RICA, GA 30180-1263
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
53905
GA
2084P0800X
Psychiatry Physician
ME158536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331834718A
—
GA
Enumeration date
12/11/2006
Last updated
08/14/2024
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