=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316189418
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JAMES A. CARR, MD, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/03/2009
-----------------------------------------------------
Last Update Date | 04/03/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5204 PAULSEN ST
-----------------------------------------------------
City | SAVANNAH
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31405-4704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 912-351-0937
-----------------------------------------------------
Fax | 912-351-0293
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5204 PAULSEN ST
-----------------------------------------------------
City | SAVANNAH
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31405-4704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 912-351-0937
-----------------------------------------------------
Fax | 912-351-0293
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. JAMES ANTHONY CARR
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 912-351-0937
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 028949
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------