Individual
DR. BRANDI WEAVER WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2484 E PINETREE BLVD, THOMASVILLE, GA 31792-4854
(229) 594-6801
(229) 738-4120
Mailing address
2484 E PINETREE BLVD, THOMASVILLE, GA 31792-4854
(229) 594-6801
(229) 738-4120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2012-01883
NC
207Q00000X
Family Medicine Physician
Primary
61681
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179012663G
—
GA
Enumeration date
10/12/2006
Last updated
11/15/2022
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