Individual
CODY CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 812-9666
Mailing address
60 ROGERS DR, BREMEN, GA 30110-4756
(706) 676-3034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CARR-Y4TRYK
MS
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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