Carr, Gary Dwain

Carr, Gary Dwain is an individual health care provider with primary practice located at 6858 Swinnea Rd Bldg 7 , Southaven MS 38671-9493. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Carr, Gary Dwain can be contacted via phone (662) 510-8400.

Contact Information

Primary practice address
6858 Swinnea Rd Bldg 7 Southaven MS 38671-9493
Phone: (662) 510-8400
Fax: (662) 510-8500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 10683 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10683 Mississippi

Profile Details

NPI number 1093887945
LBN Legal business name Carr, Gary Dwain
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Sep 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093887945 NPPES
Mississippi MEDICAID 00017378

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