Healthcare Provider Details

I. General information

NPI: 1871612432
Provider Name (Legal Business Name): ELI WARREN WARNOCK III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CLIFTON RD NE CDC OCCUPATIONAL HEALTH CLINIC MAILSTOP A-29
ATLANTA GA
30329-4018
US

IV. Provider business mailing address

1716 KINGS DOWN CIR
DUNWOODY GA
30338-5626
US

V. Phone/Fax

Practice location:
  • Phone: 404-639-3385
  • Fax:
Mailing address:
  • Phone: 770-393-1054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME55576
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number034737
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: