Vivian Jean Carr, PA-C | |
10003 Webster Rd, Camden On Gauley, WV 26208-0069 | |
(304) 226-5725 | |
(304) 226-3274 |
Full Name | Vivian Jean Carr |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 10003 Webster Rd, Camden On Gauley, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093900714 | NPI | - | NPPES |
0035222000 | Medicaid | WV | |
01039 | Other | WV | WV BOARD OF MEDICINE |
406 | Other | WV | WV BOARD OF OSTEOPATHY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 01039 (West Virginia) | Primary |
363A00000X | Physician Assistant | 406 (West Virginia) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Vivian Jean Carr, PA-C Po Box 69, Camden On Gauley, WV 26208-0069 Ph: (304) 226-5725 | Vivian Jean Carr, PA-C 10003 Webster Rd, Camden On Gauley, WV 26208-0069 Ph: (304) 226-5725 |
Anna Katherine Bobbitt, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 10003 Webster Rd, Camden On Gauley, WV 26208 Phone: 304-226-5725 |