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Individual

ERIC THOMAS WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11530 PROVIDENCE RD, STE 1300, CHARLOTTE, NC 28277-2691
(704) 667-0780
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200500275
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
200500275
NC
207RS0010X
Sports Medicine (Internal Medicine) Physician
200500275
NC
207X00000X
Orthopaedic Surgery Physician
200500275
NC
208D00000X
General Practice Physician
200500275
NC

Other

Enumeration date
03/08/2007
Last updated
07/15/2024
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