Individual
GENE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-6832
Mailing address
PO BOX 12870, JACKSON, MS 39236-2870
(601) 896-0019
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
05860
MS
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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