Individual
MS. SALLY B CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
118 FAIRVIEW DR, SOUTHAMPTON MEDICAL BLDG SUITE 100, FRANKLIN, VA 23851-1250
(757) 562-4156
(757) 562-7989
Mailing address
118 FAIRVIEW DR, SOUTHAMPTON MEDICAL BLDG SUITE 100, FRANKLIN, VA 23851-1250
(757) 562-4156
(757) 562-7989
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024076017
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024076017
NP LICENSE
VA
Enumeration date
03/31/2009
Last updated
03/31/2009
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