Individual
DR. GARY DWAIN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6858 SWINNEA RD BLDG 7, SOUTHAVEN, MS 38671-9493
(662) 510-8400
(662) 510-8500
Mailing address
201 METHODIST BLVD STE 100, HATTIESBURG, MS 39402-1267
(601) 296-3151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10683
MS
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
10683
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017378
—
MS
Enumeration date
11/15/2006
Last updated
09/21/2023
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