Individual
MR. JOHN G WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3155 MAPLEWOOD AVENUE, WINSTON SALEM, NC 27103
(336) 794-4372
(336) 659-2379
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5000
(336) 970-5298
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102202
NC
Other
Enumeration date
05/03/2006
Last updated
03/07/2011
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