Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 4101 | SC |
NPI | 1083747943 |
---|---|
Provider Name | Dr. Stephen M Warnick II |
First Address | Easley, SC 29642-7879 |
Second Address | Pickens, SC 29671 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ZA9767 | (05) | SC |