NPI 1003792995

Ervin Eugene Warren

Practitioner Prevention Professional Albany, GA

Practice location

Address: 3014 Ember CT, Albany, GA 31721-6264
Phone: (229) 291-3455

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 050910569 (GA)

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Registry record

NPI: 1003792995
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2025
Record last updated: 14 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.