Individual
GREG A WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
206 HASTINGS LANE, ELIZABETH CITY, NC 27909-3324
(252) 335-1083
(252) 335-4030
Mailing address
206 HASTINGS LANE, ELIZABETH CITY, NC 27909-3324
(252) 335-1083
(252) 335-4030
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142ER
BLUE CROSS BLUE SHIELD
NC
05
—
5903364
—
NC
01
—
P00391176
RAIL ROAD MEDICARE
NC
Enumeration date
06/08/2006
Last updated
10/22/2007
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