Individual
MACK ALLEN WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3000 SCHATULGA RD, COLUMBUS, GA 31907-3117
(706) 568-5000
Mailing address
3000 SCHATULGA RD, COLUMBUS, GA 31907-3117
(706) 568-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015140
GA
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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