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Individual

CALEB WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3403 TAZEWELL PIKE, SUITE 102, KNOXVILLE, TN 37918-2620
(865) 689-9966
(865) 689-0910
Mailing address
3403 TAZEWELL PIKE, SUITE 102, KNOXVILLE, TN 37918-2620
(865) 689-9966
(865) 689-0910

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD028800
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-41213
UNITED HEALTHCARE PROVIDE
TN
01
080129118
RAILROAD MEDICARE
TN
01
3104837
BLUE CROSS BLUE SHIELD TN
TN
05
3827019
TN
01
4317845
BCBS
TN
01
5374697
AETNA PROVIDER NUMBER
TN
01
62175607102
JOHN DEERE HEALTH PROVIDE
TN
Enumeration date
02/22/2006
Last updated
06/22/2020
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