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Organization

DR LARRY W CARR PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY WAYNE CARR OD (PRESIDENT)
(304) 684-2491
Entity
Organization

Contact information

Practice address
214 WASHINGTON STREET, ST MARYS, WV 26170
(304) 684-2491
(304) 684-2492
Mailing address
214 WASHINGTON STREET, ST MARYS, WV 26170
(304) 684-2491
(304) 684-2492

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WV7230D
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1508869298
INDIVIDUAL NPI NUMBER
05
3810009188
WV
Enumeration date
09/14/2006
Last updated
09/09/2010
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