Individual
MR. JUSTIN DAVID CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 RUSSELL PKWY, WARNER ROBINS, GA 31088-7640
(478) 225-9860
Mailing address
605 CHILDERS DR, WARNER ROBINS, GA 31088-3141
(478) 342-0066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN090390
GA
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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