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Organization

CHARLES L. CARR JR, DO, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES L. CARR JR. DO (PROVIDER/PRESIDENT/OWNER)
(207) 985-0011
Entity
Organization

Contact information

Practice address
2 MAIN STREET, SUITE 404 LAFAYETTE CENTER, KENNEBUNK, ME 04043
(207) 985-0011
(207) 985-5111
Mailing address
P.O. BOX 800, SUITE 404 LAFAYETTE CENTER, KENNEBUNK, ME 04043-0800
(207) 985-0011
(207) 985-5111

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1555
ME

Other

Enumeration date
07/26/2012
Last updated
07/26/2012
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