| Michael R. Carr, Dmd | |
|
100 W Chason St Donalsonville GA 39845-1284 | |
| (229) 524-5772 | |
| Not Available |
| Full Name | Michael R. Carr, Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 W Chason St, Donalsonville, Georgia |
| Authorized Official Name and Position | Michael R Carr (OWNER) |
| Authorized Official Contact | 2295245772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R. Carr, Dmd 100 W Chason St Donalsonville GA 39845-1284 Ph: (229) 524-5772 | Michael R. Carr, Dmd 100 W Chason St Donalsonville GA 39845-1284 Ph: (229) 524-5772 |
| NPI Number | 1336392349 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 11/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336392349 | NPI | - | NPPES |
| 195139217B | Medicaid | GA | |
| 000167681A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8936 (Georgia) | Primary |
| 1223G0001X | Dentist - General Practice | DN013194 (Georgia) | Secondary |
Ronald E Harrell Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 South Woolfork Avenue, Donalsonville, GA 39845 Phone: 229-524-5669 Fax: 229-524-6076 |