MEDICARE: DR. EIRAN AVRAHAM WARNER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	91254	GA

General Provider Information

NPI Number	:	1205193570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EIRAN AVRAHAM WARNER M.D.

Provider Business Mailing Address
First Line	:	1800 HOWELL MILL RD NW
Second Line	:	STE 800
City	:	ATLANTA
State	:	GA
Zip	:	30318-0922
Country	:	US
Telephone Number	:	404-350-9853
Fax Number	:	404-350-8407

Provider Business Practice Location Address
First Line	:	755 MOUNT VERNON HWY NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-4274
Country	:	US
Telephone Number	:	404-350-8711
Fax Number	:	404-351-7550

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2012
Last Update Date	:	03/01/2024

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