Healthcare Provider Details

I. General information

NPI: 1598339913
Provider Name (Legal Business Name): PRESTON CARR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7660 E PARHAM RD STE 201
RICHMOND VA
23294-4309
US

IV. Provider business mailing address

7660 E PARHAM RD STE 201
RICHMOND VA
23294-4309
US

V. Phone/Fax

Practice location:
  • Phone: 513-967-2592
  • Fax: 804-934-9381
Mailing address:
  • Phone: 513-967-2592
  • Fax: 804-934-9381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0103301432
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: