Provider Demographics
NPI:1710045851
Name:WARREN, RAMONA DEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:RAMONA
Middle Name:DEAN
Last Name:WARREN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 FOUNDERS ROW
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GREENSBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30642-5280
Mailing Address - Country:US
Mailing Address - Phone:706-454-2040
Mailing Address - Fax:706-454-2050
Practice Address - Street 1:1020 FOUNDERS ROW
Practice Address - Street 2:SUITE 102
Practice Address - City:GREENSBORO
Practice Address - State:GA
Practice Address - Zip Code:30642-5280
Practice Address - Country:US
Practice Address - Phone:706-454-2040
Practice Address - Fax:706-454-2050
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002351111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35CZFFMMedicare ID - Type Unspecified
GAT97900Medicare UPIN