| Carr Medical Group Pc | |
|
3470 Youth Monroe Rd Loganville GA 30052-4327 | |
| (678) 957-6301 | |
| (678) 957-6303 |
| Full Name | Carr Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3470 Youth Monroe Rd, Loganville, Georgia |
| Authorized Official Name and Position | John Stephen Carr (PHYSICIAN) |
| Authorized Official Contact | 6789576301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carr Medical Group Pc 3470 Youth Monroe Rd Loganville GA 30052-4327 Ph: (678) 957-6301 | Carr Medical Group Pc 3470 Youth Monroe Rd Loganville GA 30052-4327 Ph: (678) 957-6301 |
| NPI Number | 1649494428 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 10/22/2007 |
| Medicare PECOS PAC ID | 9931196508 |
|---|---|
| Medicare Enrollment ID | O20040427000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649494428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John S Carr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528257078 PECOS PAC ID: 1658560057 Enrollment ID: I20110118000295 |
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