Provider Demographics
NPI:1437346996
Name:WARREN, MICHELLE CHRISTINA (MD, MSPH)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:CHRISTINA
Last Name:WARREN
Suffix:
Gender:F
Credentials:MD, MSPH
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:CHRISTINA
Other - Last Name:EATON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MSPH
Mailing Address - Street 1:2340 US HIGHWAY 301 NORTH
Mailing Address - Street 2:WARREN OIL COMPANY
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-8307
Mailing Address - Country:US
Mailing Address - Phone:910-890-4446
Mailing Address - Fax:910-892-4245
Practice Address - Street 1:2340 US HIGHWAY 301 N
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-8307
Practice Address - Country:US
Practice Address - Phone:910-890-4446
Practice Address - Fax:910-892-4245
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME-1062972083P0500X
NC2011-07432083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2011-01743OtherSTATE LICENSE
FLME- 106297OtherSTATE LICENSE