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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093887945 | NPPES |
| Mississippi | MEDICAID | 00017378 |
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