Carr, Michael G

Carr, Michael G is an individual health care provider with primary practice located at 979 E 3Rd St Ste 300, Chattanooga TN 37403-2136. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Carr, Michael G can be contacted via phone (423) 267-0466.

Contact Information

Primary practice address
979 E 3Rd St Ste 300 Chattanooga TN 37403-2136
Phone: (423) 267-0466
Fax: (423) 757-0775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD13707 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD13707 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X MD13707 Tennessee

Profile Details

NPI number 1083608707
LBN Legal business name Carr, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Feb 11th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083608707 NPPES
Georgia MEDICAID 00334661A
Georgia Other 1740071
Georgia MEDICAID 3001093
Georgia Other 3250177 001
Georgia MEDICAID 890524N
Georgia Other 020029188
Georgia MEDICAID 009933940
Georgia Other 62165877419
Georgia MEDICAID 2231042
Georgia Other 27871

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