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Individual

ROY G. WARONSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
400 E STATESVILLE AVE STE 20, MOORESVILLE, NC 28115-2581
(704) 360-8486
(704) 230-4674
Mailing address
400 E STATESVILLE AVE STE 200, MOORESVILLE, NC 28115-2588
(704) 360-8486
(704) 230-4674

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
102512
NC
363AM0700X
Medical Physician Assistant
Primary
102512
NC

Other

Enumeration date
04/27/2006
Last updated
09/01/2021
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