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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GERALD C WARREN, MD

Deactivated Sole Proprietor

GERALD C WARREN, MD is a Specialist healthcare provider located in SUMMERVILLE, South Carolina. NPI 1063417228 is deactivated in the NPPES registry. Verify at CMS.

Specialist · SUMMERVILLE, SC

This NPI has been deactivated. The record was deactivated on March 17, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1063417228
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2005 (0.75342465753425 yrs)
Last Updated
Jun 6, 2011
Deactivated
Mar 17, 2006
License
15402 (SC)
Sole Proprietor
Yes

Practice Information

Address
85 SPRINGVIEW LN UNIT A
SUMMERVILLE, SC, 294858119
Browse SC providers · Browse ZIP 29485
Phone
8438510200
Fax
8438519398
Primary Specialty
Specialist
174400000X

Other Specialist Providers in SUMMERVILLE, SC

Name Credential NPI
DR. SUSAN CROCKER MD 1851480230
DR. KATHARYN OUZTS MD 1033208590
E YVONNE OUELLETTE LMT 1881859742
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.