Individual
DR. CAROLYN SUE WARREN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 KENNAWA DR, CHARLESTON, WV 25311-1824
(304) 925-2200
(304) 926-2238
Mailing address
1408 BEDFORD RD, CHARLESTON, WV 25314-1915
(304) 345-3487
(304) 345-9817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10259
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002231-000
—
WV
Enumeration date
03/27/2006
Last updated
07/08/2007
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