MEDICARE: DR. DAVID RAYMOND CARR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ND0101X	MOHS-Micrographic Surgery Physician	35.094116	OH
2	207N00000X	Dermatology Physician	35.094116	OH

General Provider Information

NPI Number	:	1700087806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID RAYMOND CARR M.D.

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-293-1707
Fax Number	:	614-293-1716

Provider Business Practice Location Address
First Line	:	540 OFFICENTER PL
Second Line	:	SUITE 240
City	:	GAHANNA
State	:	OH
Zip	:	43230-5317
Country	:	US
Telephone Number	:	614-293-1707
Fax Number	:	614-293-1716

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	07/03/2024

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