Individual
DR. ERIC JERMAINE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 824-0342
(601) 824-0349
Mailing address
PO BOX 88, BRANDON, MS 39043-0088
(601) 824-0342
(601) 824-0349
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16517
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125912
—
MS
Enumeration date
07/12/2006
Last updated
01/08/2014
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