Individual
MRS. DIANE W. WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2842 DA VINCI BLVD, DECATUR, GA 30034-3117
(404) 284-4302
(404) 288-7530
Mailing address
2842 DA VINCI BLVD, DECATUR, GA 30034-3117
(404) 284-4302
(404) 288-7530
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
GA
Other
Enumeration date
12/18/2006
Last updated
07/09/2007
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