Carr, Kimberly
Carr, Kimberly is an sole proprietor health care provider with primary practice located at 2135 Eastview Pkwy Ste 100 , Conyers GA 30013-5771. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Carr, Kimberly can be contacted via phone (770) 918-8099.Contact Information
Primary practice address
2135 Eastview Pkwy Ste 100
Conyers GA 30013-5771
Phone: (770) 918-8099
Fax: (770) 918-8402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 052062 | Georgia |
Profile Details
| NPI number | 1457411605 |
|---|---|
| LBN Legal business name | Carr, Kimberly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Oct 1st, 2014 - about 10 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 | 1457411605 | NPPES |
| Georgia | MEDICAID | 782382212J |
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