Individual
MR. MICHAEL DENNIS CARR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 497-5929
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 839-4447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1431
SC
363AM0700X
Medical Physician Assistant
Primary
1431
SC
Other
Enumeration date
11/21/2007
Last updated
07/28/2023
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