Carr, Clarence D

Carr, Clarence D is an individual health care provider with primary practice located at 1000 Johnson Ferry Rd Ne , Atlanta GA 30342-1606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Carr, Clarence D can be contacted via phone (404) 851-6936.

Contact Information

Primary practice address
1000 Johnson Ferry Rd Ne Atlanta GA 30342-1606
Phone: (404) 851-6936
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 027509 Georgia

Profile Details

NPI number 1588638936
LBN Legal business name Carr, Clarence D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Nov 8th, 2008 - about 16 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 1588638936 NPPES
Georgia Other 10044970 AMERIGROUP
Georgia MEDICAID 000303014H AMERIGROUP
Georgia MEDICAID 000303014 AMERIGROUP
Georgia Other 333399 AMERIGROUP
Georgia Other 004026 AMERIGROUP
Georgia Other 200026 AMERIGROUP
Georgia Other 10666 AMERIGROUP
Georgia MEDICAID 000303014E AMERIGROUP

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