Individual
JERRY PEYTON WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
2467
AL
Other
Enumeration date
08/15/2024
Last updated
11/14/2024
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