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General NPI Number Information
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NPI Number | 1568488492
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Entity Type | Individual
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Provider Name | JOHN MICHAEL WARNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 12/15/2010
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Provider Practice Location Address
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Address Line | 5216 HOSPITAL DRIVE DEPT OF ANESTHESIA
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City | COVINGTON
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State | GA
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Zip | 30014
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Country | US
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Telephone | 770-385-7984
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Fax | 770-385-7808
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Provider Business Mailing Address
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Address Line | 405 ARROWHEAD BLVD SUITE C
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City | JONESBORO
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State | GA
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Zip | 30236-1254
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Country | US
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Telephone | 770-478-9877
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Fax | 770-478-2908
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 051100
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License Number State | GA
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