Individual
ALBERT WARREN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1339 GRAY HWY, MACON, GA 31211-1903
(478) 749-9200
Mailing address
1108 BOULDER DR, GRAY, GA 31032-6149
(478) 607-0400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
063748
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856761875D
—
GA
Enumeration date
01/25/2008
Last updated
10/23/2018
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