Provider Demographics
NPI:1568488492
Name:WARNER, JOHN MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MICHAEL
Last Name:WARNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:405 ARROWHEAD BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-1254
Mailing Address - Country:US
Mailing Address - Phone:770-478-9877
Mailing Address - Fax:770-478-2908
Practice Address - Street 1:5216 HOSPITAL DRIVE
Practice Address - Street 2:DEPT OF ANESTHESIA
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014
Practice Address - Country:US
Practice Address - Phone:770-385-7984
Practice Address - Fax:770-385-7808
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2010-12-15
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Provider Licenses
StateLicense IDTaxonomies
GA051100207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000947493AMedicaid
GA000947493BMedicaid
GA000947493BMedicaid
GA000947493AMedicaid