Carr, Owen Jeffery

Carr, Owen Jeffery is an individual health care provider with primary practice located at 2709 Meredyth Dr Ste 450 , Albany GA 31707-0220. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Carr, Owen Jeffery can be contacted via phone (229) 446-1990.

Contact Information

Primary practice address
2709 Meredyth Dr Ste 450 Albany GA 31707-0220
Fax: (229) 312-5005
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Georgia

Profile Details

NPI number 1124493606
LBN Legal business name Carr, Owen Jeffery
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2015
Last updated Feb 26th, 2019 - about 7 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 1124493606 NPPES
Florida Other PA 9109135 FLORIDA MEDICAL LICENSE
Florida Other 008061 FLORIDA MEDICAL LICENSE

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