Jeral W Carr in Lake City - Physician Assistant
Jeral W Carr - NPI 1326002452
Jeral W Carr is a Physician Assistant in Lake City, Florida. Jeral W Carr practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeral W Carr is 1326002452. The last update date is 2009-12-11.
Jeral W Carr's current location address is 1289 Sw State Road 47, Lake City, Florida. You can contact this provider via phone number 3867550421 and fax number 3864871234. The mailing address for Jeral W Carr is 1289 Sw State Road 47, Lake City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeral W Carr |
|---|---|
| Address | 1289 Sw State Road 47, Lake City, Florida |
| Phone Number | 3867550421 |
| Fax Number | 3864871234 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1326002452 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2009-12-11 |
Provider Mailing Address Detail
| Address | 1289 Sw State Road 47 |
|---|---|
| City | Lake City |
| State | Florida (FL) |
| Post Code | 320250484 |
| Phone Number | 3867550421 |
| Fax Number | 3864871234 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9102567 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA9102567 | FL | MEDICAL LICENSE # | |
| 363A00000X | FL | TAXONOMY CODE |
Post Comment/ Review Below
What is the unique identifier code issued to Jeral W Carr by the Centers for Medicare & Medicaid Services (CMS)?
The Jeral W Carr has been assigned the NPI (National Provider Identifier) 1326002452. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jeral W Carr is physically located?
The Jeral W Carr is physically situated at the following address: 1289 Sw State Road 47, Lake City, FL, 320250484.
What is Jeral W Carr's area of expertise and its corresponding taxonomy classification?
The Jeral W Carr's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1326002452 to Jeral W Carr?
The Centers for Medicare & Medicaid Services assigned the 1326002452 to Jeral W Carr on 2006-04-14.
As of what date were the details related to Jeral W Carr most recently updated or revised?
The information pertaining to Jeral W Carr, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-11.
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