Individual
MRS. LISA S CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
918 S BROAD ST, THOMASVILLE, THOMASVILLE, GA 31792-0918
(229) 226-8800
(229) 226-8232
Mailing address
PO BOX 2357, THOMASVILLE, THOMASVILLE, GA 31799-2357
(229) 226-8800
(229) 226-8232
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN077674
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00481698B
—
GA
05
—
00481698D
—
GA
Enumeration date
05/23/2006
Last updated
08/13/2013
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