Dr Gary Dwain Carr, MD | |
6858 Swinnea Rd Bldg 7, Southaven, MS 38671-9493 | |
(662) 510-8400 | |
(662) 510-8500 |
Full Name | Dr Gary Dwain Carr |
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Gender | Male |
Speciality | Family Medicine - Addiction Medicine |
Location | 6858 Swinnea Rd Bldg 7, Southaven, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093887945 | NPI | - | NPPES |
00017378 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0401X | Family Medicine - Addiction Medicine | 10683 (Mississippi) | Primary |
207Q00000X | Family Medicine | 10683 (Mississippi) | Secondary |
Entity Name | Region 12 Commission On Mental Health & Retardation Pine Belt Men |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982610572 PECOS PAC ID: 3971561747 Enrollment ID: O20041227000393 |
Mailing Address | Practice Location Address |
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Dr Gary Dwain Carr, MD 201 Methodist Blvd Ste 100, Hattiesburg, MS 39402-1267 Ph: (601) 296-3151 | Dr Gary Dwain Carr, MD 6858 Swinnea Rd Bldg 7, Southaven, MS 38671-9493 Ph: (662) 510-8400 |
Saif M Tahsin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960 | |
Dr. Beth A Choby, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7736 Airways Blvd, Southaven, MS 38671 Phone: 662-772-3700 Fax: 662-772-3719 | |
John Carl Biery Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7736 Airways Blvd, Southaven, MS 38671 Phone: 662-772-3700 Fax: 662-772-3719 | |
Walter Earl Carnahan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd, Bldg A Suite 6, Southaven, MS 38671 Phone: 662-536-4646 Fax: 662-536-4443 | |
Jennifer B Warren, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3495 Cobblestone Blvd S, Southaven, MS 38672 Phone: 662-892-2885 Fax: 662-890-1551 | |
Dr. Nabeel Syed Ali, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960 |