Healthcare Provider Details

I. General information

NPI: 1770669962
Provider Name (Legal Business Name): COUNTY OF WARREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 11/20/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

544 WEST RIDGEWAY STREET
WARRENTON NC
27589-1716
US

IV. Provider business mailing address

544 WEST RIDGEWAY STREET
WARRENTON NC
27589-1825
US

V. Phone/Fax

Practice location:
  • Phone: 252-257-1185
  • Fax: 252-257-2897
Mailing address:
  • Phone: 252-257-1185
  • Fax: 252-257-2897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MARGARET BRAKE
Title or Position: HEALTH DIRECTOR
Credential:
Phone: 252-257-6000