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Individual

LAURA R CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AG-ACNP

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 982-1100
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0024175988
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024175988
VA

Other

Enumeration date
03/28/2018
Last updated
11/08/2024
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