Warner, Carolynn Marie
Warner, Carolynn Marie is an individual health care provider with primary practice located at 300 East Hospital Drive Ddeamc, Virtual Health, Fort Gordon GA 30905. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Warner, Carolynn Marie can be contacted via phone (912) 435-6301.Contact Information
Primary practice address
300 East Hospital Drive Ddeamc, Virtual Health
Fort Gordon GA 30905
Phone: (912) 435-6301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 059975 | Georgia |
Profile Details
| NPI number | 1881695328 |
|---|---|
| LBN Legal business name | Warner, Carolynn Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Aug 4th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881695328 | NPPES |
| Georgia | Other | 059975 | STATE LICENSE |
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