Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD13707 | TN |
N | 208600000X | Surgeon | MD13707 | TN |
Y | 2086S0120X | Pediatric Surgery | MD13707 | TN |
NPI | 1083608707 |
---|---|
Provider Name | Dr. Michael G Carr |
First Address | Chattanooga, TN 37403-2136 |
Second Address | Chattanooga, TN 37403-2136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 11/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00334661A | (05) | GA |
009933940 | (05) | AL |
020029188 | RR MEDICARE (01) | |
1740071 | UHC (01) | |
2231042 | (05) | OH |
27871 | BCBS OF TN (01) | |
3001093 | (05) | TN |
3250177 001 | CIGNA (01) | |
62165877419 | JDH (01) | |
890524N | (05) | NC |
A96677 | (02) |