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Individual

DR. WARREN T NORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
205 MARENGO ST, FLORENCE, AL 35630-6033
(256) 381-0400
(256) 365-0065
Mailing address
PO BOX 229, SHEFFIELD, AL 35660-0229
(662) 620-7102
(662) 620-7106

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
00016553
AL
2085R0202X
Diagnostic Radiology Physician
Primary
MD.16553
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000055298
MEDICARE PROVIDER NUMBER
AL
05
009911639
AL
05
009911641
AL
05
009934439
AL
05
009934441
AL
05
009971885
AL
05
051519728
AL
01
51519728
BC ECM
AL
01
51524659
BC OBGYN
AL
01
51531778
BC HALEYVILLE
AL
01
51531779
BC RUSSELLVILLE
AL
01
51543141
BC SHOALS
AL
01
51543275
BC EAST
AL
05
528202620
AL
01
C300
MC GROUP
Enumeration date
06/01/2005
Last updated
04/09/2019
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