Individual
TERRY L CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
401 MATTHEW ST, EMERGENCY DEPARTMENT, MARIETTA, OH 45750-1635
(740) 376-1939
Mailing address
160 TWIN FAWN TRL, PARKERSBURG, WV 26104-8462
(304) 464-8187
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.009282
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2832626
—
OH
05
—
3810012698
—
WV
01
—
P01078742
RAILROAD MEDICARE
OH
Enumeration date
05/09/2008
Last updated
04/20/2022
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