Individual
MR. BRIAN ALLEN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(936) 662-7979
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710T1002X
MILITARY HEALTHCARE PROVIDER/ INDEPENDENT DUTY CORPSMAN
NC
Enumeration date
08/02/2010
Last updated
08/02/2010
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