Doctor Name: | MR. DAVID HUDSON WARREN |
NPI Number: | 1073926937 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 251 N. Trade Street Matthews, NC - 281056755 |
Business Phone Number: | 7042893334 |
Business Fax Number: | |
Mailing Address: | 1200 Over Stream Ln, MATTHEWS |
State: | NC |
Postal Code: | 281056755 |
Phone Number: | 7042893334 |
Fax Number: | 7048448156 |
NPI Enumeration Date: | 06/09/2014 |
NPI Last Update Date: | 06/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |