Individual
DR. KRISTEN BLACKBURN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5023 CAROLINA FOREST BLVD, MYRTLE BEACH, SC 29579-3578
(843) 497-5929
(843) 839-4448
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 839-4447
(843) 399-0123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31713
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317133
—
SC
Enumeration date
06/09/2009
Last updated
08/06/2025
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