Individual
MISS SAMANTHA JEAN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 631-1128
Mailing address
304 HARTFORD AVE, CHARLOTTE, NC 28209-1925
(810) 516-5083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
247823
NC
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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