Healthcare Provider Details

I. General information

NPI: 1205858750
Provider Name (Legal Business Name): FELICIA M CARR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FELICIA GLORIA MORGAN MD

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 09/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 EISENHOWER DRIVE
SAVANNAH GA
31406-1612
US

IV. Provider business mailing address

602 E. 72ND STREET
SAVANNAH GA
31405-4913
US

V. Phone/Fax

Practice location:
  • Phone: 912-819-9100
  • Fax: 912-819-9101
Mailing address:
  • Phone: 912-819-7878
  • Fax: 912-819-5044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number028190
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: