Individual
JONATHAN WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
91 AIRPORT RD, TYLERTOWN, MS 39667-6100
(601) 303-1664
Mailing address
91 AIRPORT RD, TYLERTOWN, MS 39667-6100
(601) 303-1664
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
14779
MS
Other
Enumeration date
11/18/2013
Last updated
05/09/2017
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