Provider Demographics
NPI:1194377630
Name:WARNOCK, ANDREW SETH (NP-C)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:SETH
Last Name:WARNOCK
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 MELVIN DR
Mailing Address - Street 2:
Mailing Address - City:COCHRAN
Mailing Address - State:GA
Mailing Address - Zip Code:31014-8121
Mailing Address - Country:US
Mailing Address - Phone:478-230-0803
Mailing Address - Fax:
Practice Address - Street 1:2839 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:CADWELL
Practice Address - State:GA
Practice Address - Zip Code:31009-3465
Practice Address - Country:US
Practice Address - Phone:478-689-4750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN231159363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily