Individual
DR. ELBERT G WARREN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1605 S LOCUST AVE, STE 200, LAWRENCEBURG, TN 38464-4061
(931) 766-4560
(931) 766-4568
Mailing address
PO BOX 248, LAWRENCEBURG, TN 38464-0248
(931) 766-4560
(931) 766-4568
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36295
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621746
AMERIGROUP
—
05
—
3872835
—
TN
01
—
4321647
BCBS TN
TN
Enumeration date
08/31/2006
Last updated
07/10/2012
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