Organization
MICHAEL R. CARR, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R CARR DMD (OWNER)
(229) 524-5772
Entity
Organization
Contact information
Practice address
100 W CHASON ST, DONALSONVILLE, GA 39845-1284
(229) 524-5772
Mailing address
100 W CHASON ST, DONALSONVILLE, GA 39845-1284
(229) 524-5772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8936
GA
1223G0001X
General Practice Dentistry
DN013194
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000167681A
—
GA
05
—
195139217B
—
GA
Enumeration date
11/04/2008
Last updated
11/04/2008
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