Individual
VICTORIA LORD CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3903 S COBB DR SE, SMYRNA, GA 30080-8504
(404) 251-2112
Mailing address
3540 LEE ST SE, SMYRNA, GA 30080-5622
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008635
GA
363AS0400X
Surgical Physician Assistant
PA08985
TX
Other
Enumeration date
03/28/2014
Last updated
05/02/2022
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