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Individual

DR. GEORGE W CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 634-7423
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 634-7423

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36781
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080021392
RR
MO
01
14244
BCBS
MO
05
202792305
MO
01
CD6060
GROUP RR
MO
Enumeration date
02/15/2006
Last updated
08/10/2023
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