Individual
DR. WARREN MARSHALL WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
104 NORTHSIDE DR W, STATESBORO, GA 30458-5301
(912) 764-6100
(912) 489-2961
Mailing address
PO BOX 541, STATESBORO, GA 30459-0541
(912) 764-6100
(912) 489-2961
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR003139
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00488452A
—
GA
Enumeration date
11/16/2006
Last updated
07/08/2007
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