Provider Demographics
NPI:1992799043
Name:WARREN, JAMES OTUEL (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:OTUEL
Last Name:WARREN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 DRAKE LNDG
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-8417
Mailing Address - Country:US
Mailing Address - Phone:252-637-0575
Mailing Address - Fax:
Practice Address - Street 1:222 DRAKE LNDG
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-8417
Practice Address - Country:US
Practice Address - Phone:252-637-0575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC36850207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology