Individual
DR. CAROLYNN MARIE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 CARPENTER RD, FORT MYER, VA 22211-1009
(035) 880-0207
Mailing address
401 CARPENTER RD, FORT MYER, VA 22211-1009
(703) 588-0020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
059975
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059975
STATE LICENSE
GA
Enumeration date
08/09/2005
Last updated
07/27/2024
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