| Doctor Name: | JOHN MARLIN WARREN |
| NPI Number: | 1093911992 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CNMT |
| License Number: | 007652 |
| Business Practice Address: | 5604 Wendy Bagwell Pkwy Suite 911 Hiram, GA - 301417809 |
| Business Phone Number: | 6783841711 |
| Business Fax Number: | 6783841721 |
| Mailing Address: | 1145 Fairwood Close Nw, ACWORTH |
| State: | GA |
| Postal Code: | 301014689 |
| Phone Number: | 6783841711 |
| Fax Number: | 6782293401 |
| NPI Enumeration Date: | 06/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471N0900X |
| License Number: | 007652 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Nuclear Medicine Technology |
| Taxonomy Definition: | |