Individual
DR. GARRETH J CARRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 S 7TH ST, OZARK, AR 72949-3131
(479) 452-2077
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 452-2077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-0528
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080139557
RR MEDICARE
—
05
—
129017001
—
AR
Enumeration date
06/23/2006
Last updated
09/13/2007
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