Individual
DR. WARREN C GEWANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2167 NORMANDIE DR, MONTGOMERY, AL 36111-2728
(334) 286-3444
(334) 286-3450
Mailing address
PO BOX 241145, MONTGOMERY, AL 36124-1145
(334) 273-4520
(334) 273-4425
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16995
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051532020 529929310
—
AL
01
—
203204949
FED TAX ID
AL
01
—
32020 B80738
BLUE CROSS BLUE SHIELD
AL
01
—
3700153
UNITED HEALTH CARE
AL
01
—
B80738
VIVA
AL
Enumeration date
10/03/2006
Last updated
06/12/2008
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