Individual
DR. MALCOLM WARREN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3823 ROSWELL RD STE 202, MARIETTA, GA 30062
(678) 383-6643
Mailing address
3823 ROSWELL RD., STE 202, MARIETTA, GA 30062
(678) 383-6643
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009614
GA
111N00000X
Chiropractor
DC31271
CA
225100000X
Physical Therapist
—
GA
2251X0800X
Orthopedic Physical Therapist
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC31271
CHIROPRACTIC LICENSE
CA
Enumeration date
05/26/2009
Last updated
05/26/2021
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