Individual
DR. MICHAEL CARR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
84 COURT STREET, CUTHBERT, GA 39840
(229) 732-3300
Mailing address
2500 N STATE STREET, JACKSON, MS 39216
(706) 338-5420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014367
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2011
Last updated
06/16/2018
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