Warren, Brandi Weaver
Warren, Brandi Weaver is an individual health care provider with primary practice located at 2484 E Pinetree Blvd , Thomasville GA 31792-4854. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Warren, Brandi Weaver can be contacted via phone (229) 594-6801.Contact Information
Primary practice address
2484 E Pinetree Blvd
Thomasville GA 31792-4854
Phone: (229) 594-6801
Fax: (229) 738-4120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2012-01883 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 61681 | Georgia |
Profile Details
| NPI number | 1417046517 |
|---|---|
| LBN Legal business name | Warren, Brandi Weaver |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Nov 15th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417046517 | NPPES |
| Georgia | MEDICAID | 179012663G |
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