Individual
DR. KIMBERLY CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2135 EASTVIEW PKWY STE 100, CONYERS, GA 30013-5771
(770) 918-8099
(770) 918-8402
Mailing address
2135 EASTVIEW PKWY STE 100, CONYERS, GA 30013-5771
(770) 918-8099
(770) 918-8402
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
052062
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
782382212J
—
GA
Enumeration date
12/11/2006
Last updated
10/01/2014
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