Individual
JOHN ALLEN WAREHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Mailing address
8081 TOWNSHIP LINE RD STE 203, INDIANAPOLIS, IN 46260-2189
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
01041622
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2015-01017
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100217930
—
IN
Enumeration date
09/13/2006
Last updated
02/20/2023
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