Individual
CLARENCE D CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
027509
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000303014
—
GA
05
—
000303014E
—
GA
05
—
000303014H
—
GA
01
—
004026
BCBS OF GEORGIA
GA
01
—
10044970
AMERIGROUP
GA
01
—
10666
KAISER
GA
01
—
200026
BCBS OF GEORGIA
GA
01
—
333399
WELLCARE OF GEORGIA
GA
Enumeration date
02/14/2006
Last updated
11/08/2008
Update your record
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