Doctor Name: | FELICITY M. WARREN |
NPI Number: | 1295727527 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 034978 |
Business Practice Address: | 2550 Windy Hill Rd Se Suite 103 Marietta, GA - 300678665 |
Business Phone Number: | 7709525796 |
Business Fax Number: | 7703816451 |
Mailing Address: | 629 Beaver Ruin Rd Nw, Suite B LILBURN |
State: | GA |
Postal Code: | 300473401 |
Phone Number: | 7709214322 |
Fax Number: | 7703816451 |
NPI Enumeration Date: | 08/23/2005 |
NPI Last Update Date: | 11/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 034978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |