Organization
LIVE OAKS ADDICTION PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D. CARR MD (SOLE MEMBER)
(662) 510-8400
Entity
Organization
Contact information
Practice address
5699 GETWELL RD STE 1, SOUTHAVEN, MS 38672-7312
(662) 510-8400
(662) 510-8500
Mailing address
201 METHODIST BLVD STE 100, HATTIESBURG, MS 39402-1267
(601) 296-3151
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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