Healthcare Provider Details

I. General information

NPI: 1073582177
Provider Name (Legal Business Name): CRAIG A. WARNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date: 04/03/2024
Reactivation Date: 04/12/2024

III. Provider practice location address

7033 LOUIS STEPHENS DR
MORRISVILLE NC
27560-6399
US

IV. Provider business mailing address

5221 PARAMOUNT PKWY STE 220
MORRISVILLE NC
27560-5490
US

V. Phone/Fax

Practice location:
  • Phone: 919-994-6331
  • Fax: 919-590-6777
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number200300299
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: