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Individual

DR. THOMAS BRENT WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
140 GATEWAY BLVD, MOORESVILLE, NC 28117-8522
(704) 664-9638
(704) 664-1859
Mailing address
140 GATEWAY BLVD, MOORESVILLE, NC 28117-7561
(704) 664-9638
(704) 664-1859

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
200000659
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130KY
BCBS
NC
05
89130KY
NC
Enumeration date
11/10/2006
Last updated
08/15/2023
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