Healthcare Provider Details

I. General information

NPI: 1881099760
Provider Name (Legal Business Name): GEORGE ANDREW WARREN D.C., B.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11489 SC HIGHWAY 121
NEWBERRY SC
29108-9137
US

IV. Provider business mailing address

11489 SC HIGHWAY 121
NEWBERRY SC
29108-9137
US

V. Phone/Fax

Practice location:
  • Phone: 803-276-8833
  • Fax: 803-276-8837
Mailing address:
  • Phone: 803-276-8833
  • Fax: 803-276-8837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number3991
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number3991
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3991
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: