Provider Demographics
NPI:1972599751
Name:AIKEN, WARWICK III (MD)
Entity Type:Individual
Prefix:DR
First Name:WARWICK
Middle Name:
Last Name:AIKEN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5168
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-5100
Mailing Address - Country:US
Mailing Address - Phone:704-854-8799
Mailing Address - Fax:704-854-8803
Practice Address - Street 1:1867 REMOUNT RD
Practice Address - Street 2:SUITE D
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-7401
Practice Address - Country:US
Practice Address - Phone:704-854-8799
Practice Address - Fax:704-854-8803
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23354207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00184275OtherRAILROAD MEDICARE
NC8910447Medicaid
SCN23354Medicaid
NCP00184275OtherRAILROAD MEDICARE
NC8910447Medicaid