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Dr. Warren Stuart Theis, MD
General Practice Physician in Waycross, Georgia
NPI 1588658702

Warren Stuart Theis is a General Practice Physician based in Waycross, GA. Warren Stuart Theis practices in Waycross, GA and has the professional credentials of MD. The NPI Number for Warren Stuart Theis is 1588658702 and holds a License No. 055345 (Georgia).

The current practice location address for Warren Stuart Theis is 1405 Alice St, Waycross, GA and can be reached out via phone at 912-285-8822 and via fax at 912-285-8898.

Location: 1405 Alice St, Waycross, GA, 31501-4528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588658702
Provider Name
Warren Stuart Theis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1405 Alice St, Waycross, GA, 31501-4528
Phone Number
912-285-8822
Fax Number
912-285-8898
Provider Enumeration Date
09/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
67269005A 05 GA
institution
Provider Business Practice Location Address Details
Address
1405 Alice St
City
Waycross
State
Georgia
Zip
31501-4528
Phone Number
912-285-8822
Fax Number
912-285-8898
person
Provider Business Mailing Address Details
Address
1405 Alice St
City
Waycross
State
Georgia
Zip
31501-4528
Phone Number
912-285-8822
Fax Number
912-285-8898
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
055345 (Georgia)
Definition
Definition to come...
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