Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 19649 | TN |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 19649 | TN |
NPI | 1841287737 |
---|---|
Provider Name | Dr. William C Warner |
First Address | Germantown, TN 38138-2205 |
Second Address | Germantown, TN 38138-2205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 01/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010076 | (05) | MS |
115726001 | (05) | AR |
D93635 | (02) | TN |
Q016963 | (05) | TN |