Individual
DR. SEAN STEPHEN CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
20 BAKER RD, STE 5, NEWNAN, GA 30265-2134
(770) 254-9997
(770) 254-0134
Mailing address
481 GRANT ST SE, ATLANTA, GA 30312-3154
(404) 944-9245
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1601
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF4499
MEDICARE ID
GA
Enumeration date
02/21/2007
Last updated
09/19/2011
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