Provider Demographics
NPI:1699965715
Name:WARREN, JOHN MOVIUS JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MOVIUS
Last Name:WARREN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:403 HILLCREST DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-1207
Mailing Address - Country:US
Mailing Address - Phone:864-855-2737
Mailing Address - Fax:864-855-2221
Practice Address - Street 1:403 HILLCREST DR
Practice Address - Street 2:SUITE A
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-1207
Practice Address - Country:US
Practice Address - Phone:864-855-2737
Practice Address - Fax:864-855-2221
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2014-01-09
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Provider Licenses
StateLicense IDTaxonomies
SC8415207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCD908119364Medicare PIN