# CHARLES L. CARR JR, DO, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346596483
- **Authorized official:** CHARLES L. CARR JR. DO (PROVIDER/PRESIDENT/OWNER)
- **Authorized official phone:** (207) 985-0011

## Contact information

- **Practice address:** 2 MAIN STREET, SUITE 404 LAFAYETTE CENTER, KENNEBUNK, ME 04043
- **Practice address phone:** (207) 985-0011
- **Practice address fax:** (207) 985-5111
- **Mailing address:** P.O. BOX 800, SUITE 404 LAFAYETTE CENTER, KENNEBUNK, ME 04043-0800
- **Mailing address phone:** (207) 985-0011
- **Mailing address fax:** (207) 985-5111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 1555 | ME | Yes |

## Other

- **Enumeration date:** 07/26/2012
- **Last updated:** 07/26/2012