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Individual

MICHAEL DAVID WARLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 535-0191
(770) 535-0916
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048098
GA
208M00000X
Hospitalist Physician
048098
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000861737B
GA
01
10045255
AMERIGROUP
GA
01
110224863
RR MEDICARE-GRP # CC4177
GA
01
3305980
CIGNA
GA
01
341126
WELLCARE
GA
01
52586056
BCBS
GA
01
7600058
UNITED HEALTHCARE
GA
Enumeration date
01/23/2006
Last updated
08/28/2014
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