Individual
DR. MICHAEL G CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 757-0775
Mailing address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 757-0775
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD13707
TN
208600000X
Surgery Physician
MD13707
TN
2086S0120X
Pediatric Surgery Physician
Primary
MD13707
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00334661A
—
GA
05
—
009933940
—
AL
01
—
020029188
RR MEDICARE
—
01
—
1740071
UHC
—
05
—
2231042
—
OH
01
—
27871
BCBS OF TN
—
05
—
3001093
—
TN
01
—
3250177 001
CIGNA
—
01
—
62165877419
JDH
—
05
—
890524N
—
NC
Enumeration date
09/08/2005
Last updated
02/11/2015
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