Individual
PAULA CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 30096
(770) 931-6012
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 504-5678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101058937
VA
207Q00000X
Family Medicine Physician
Primary
076664
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010211719
—
VA
01
—
183922
ANTHEM
VA
01
—
27575
SENTARA/OPTIMA
VA
01
—
4399936
AETNA
VA
01
—
541595397
VIRGINIA HEALTH NETWORK
VA
01
—
541595397035
TRICARE
VA
Enumeration date
02/08/2006
Last updated
03/07/2022
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