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Individual

GREGORY MICHAEL CARR JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RDN

Contact information

Practice address
6100 WESTERN PL STE 908, FORT WORTH, TX 76107-4600
(817) 751-7802
(847) 859-5885
Mailing address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061-1454
(847) 868-3435
(847) 859-5885

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85837
TX

Other

Enumeration date
02/13/2019
Last updated
12/11/2020
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