Carmen, Darrell J
Carmen, Darrell J is an individual health care provider with primary practice located at 33 Upper Riverdale Rd Sw Suite 105, Riverdale GA 30274-2626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Carmen, Darrell J can be contacted via phone (770) 991-0020.Contact Information
Primary practice address
33 Upper Riverdale Rd Sw Suite 105
Riverdale GA 30274-2626
Phone: (770) 991-0020
Fax: (770) 994-9729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 039749 | Georgia |
Profile Details
| NPI number | 1447368626 |
|---|---|
| LBN Legal business name | Carmen, Darrell J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447368626 | NPPES |
| Georgia | MEDICAID | 000655223A | |
| Georgia | Other | 340010024 |
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