Individual
MR. JEFFREY A CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1910 MALVERN AVE, HOT SPRINGS, AR 71901-7752
(501) 321-1000
Mailing address
PO BOX 22390, HOT SPRINGS, AR 71903-2390
(800) 235-1415
(913) 234-1108
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C00425
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59613
BCBS
AR
01
—
P00264465
RR MEDICARE GROUP CK6327
—
Enumeration date
10/12/2005
Last updated
03/28/2008
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