Elam, Warren Dibrell

Elam, Warren Dibrell is an individual health care provider with primary practice located at 4350 Towne Centre Dr Suite 1000, Evans GA 30809-3301. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Elam, Warren Dibrell can be contacted via phone (706) 868-3940.

Contact Information

Primary practice address
4350 Towne Centre Dr Suite 1000 Evans GA 30809-3301
Phone: (706) 868-3940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 027989 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2085D0003X 027989 Georgia
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 027989 Georgia
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 027989 Georgia
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 027989 Georgia
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 027989 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 027989 Georgia

Profile Details

NPI number 1811951858
LBN Legal business name Elam, Warren Dibrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Oct 31st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811951858 NPPES
Georgia MEDICAID 00344121F
Georgia MEDICAID 00344121M
Georgia MEDICAID G27989
Georgia MEDICAID 00344121L
Georgia Other 10058441
Georgia MEDICAID 00344121D
Georgia MEDICAID 00344121E
Georgia MEDICAID 00344121B
Georgia MEDICAID 00344121J
Georgia MEDICAID 00344121N
Georgia MEDICAID 00344121I
Georgia MEDICAID 00344121H
Georgia Other 1265540314

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