Warren Stuart Theis M.D.

NPI 1588658702 - General Practice - 208D00000X

NPI Details
NPI 1588658702
Gender Male
Enumeration Date 09/02/2005
Last Updated 06/03/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
1405 ALICE ST
WAYCROSS GA, 31501-4528, US
Phone (912) 285-8822
Fax (912) 285-8898
Business Location
1405 ALICE ST
WAYCROSS GA, 31501-4528, US
Phone (912) 285-8822
Fax (912) 285-8898
Toxanomy
Taxonomy Code 208D00000X
License State Virginia
License Number 0101237160
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According to our database, Dr. Warren Stuart Theis M.D. NPI is 1588658702, taxonomy code is 208D00000X and license number is 0101237160, license state is located at Virginia. Warren Stuart Theis M.D. physically located at 1405 Alice St, Waycross GA, 31501-4528. NPI Number Warren Stuart Theis M.D. has the Individual type.

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1588658702 NPI number is provided on an as is basis without warranty of any kind. 1588658702 is maintained by the National Plan & Provider Enumeration System. The contents of Warren Stuart Theis M.D. are for informational purposes only.