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

DR. WARREN STUART THEIS, M.D.

Active Sole Proprietor

DR. WARREN STUART THEIS, M.D. is a General Practice healthcare provider located in WAYCROSS, Georgia. NPI 1588658702 is currently active in the NPPES registry. Verify at CMS.

General Practice · WAYCROSS, GA

Registration Details

NPI Number: 1588658702
Provider Type: Individual
Gender: Male
NPI Issued: Sep 2, 2005 (20.924151408925 yrs)
Last Updated: Jun 3, 2009
Licenses: 055345 (GA)

0101237160 (VA)

A84102 (CA)

ME96329 (FL)
Sole Proprietor: Yes

Practice Information

Address: 1405 ALICE ST

WAYCROSS, GA, 315014528
Browse GA providers · Browse ZIP 31501
Phone: 9122858822
Fax: 9122858898
Primary Specialty: General Practice
208D00000X
Additional Specialty: General Practice
Additional Specialty: General Practice
Additional Specialty: General Practice

Other General Practice Providers in WAYCROSS, GA

Name	Credential	NPI
DR. JOSE RAMON VILLAMIL	M.D.	1588695092
CHANDRAKANTH AMARAM	M.D.	1992730881
NIRMALA D AMARAM	M.D.	1548295405

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.