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Individual

ALSTON GRAHAM WARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7715 WOLF RIVER BLVD, GERMANTOWN, TN 38138
(901) 328-6031
(901) 328-6035
Mailing address
P.O. BOX 405827, ATLANTA, GA 30384-5827

Taxonomy

Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
26874
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3370350
MEDICARE GROUP #
TN
01
4156349
BLUE CROSS OF TENNESSEE
TN
01
P00418182
RR MEDICARE
TN
Enumeration date
05/08/2006
Last updated
10/25/2016
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