Gary Dwain Carr in Southaven - Addiction Medicine
Gary Dwain Carr - NPI 1093887945
Gary Dwain Carr is a Addiction Medicine in Southaven, Mississippi. Gary Dwain Carr practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Gary Dwain Carr is 1093887945. The last update date is 2023-09-21.
Gary Dwain Carr's current location address is 6858 Swinnea Rd Bldg 7, Southaven, Mississippi. You can contact this provider via phone number 6625108400 and fax number 6625108500. The mailing address for Gary Dwain Carr is 6858 Swinnea Rd Bldg 7, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Dwain Carr |
|---|---|
| Address | 6858 Swinnea Rd Bldg 7, Southaven, Mississippi |
| Phone Number | 6625108400 |
| Fax Number | 6625108500 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093887945 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2023-09-21 |
Provider Mailing Address Detail
| Address | 6858 Swinnea Rd Bldg 7 |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386719493 |
| Phone Number | 6625108400 |
| Fax Number | 6625108500 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | 10683 |
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Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17378 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gary Dwain Carr by the Centers for Medicare & Medicaid Services?
The Gary Dwain Carr has been assigned the NPI (National Provider Identifier) 1093887945. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gary Dwain Carr is physically located?
The Gary Dwain Carr is physically situated at the following address: 6858 Swinnea Rd Bldg 7, Southaven, MS, 386719493.
What is the Gary Dwain Carr's area of specialization and corresponding taxonomy classification?
The Gary Dwain Carr's specialty field is Addiction Medicine, and it falls under the taxonomy code 207Qa0401X, which categorizes healthcare providers based on their specialties.
On what date was the 1093887945 assigned to Gary Dwain Carr?
The Gary Dwain Carr was issued its 1093887945 on 2006-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Gary Dwain Carr's information last updated?
The Gary Dwain Carr's information was last updated on 2023-09-21.