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NPI Code Detail

MEDICARE: MISS NOEMI ADELINA CARCAR MD

MEDICARE: MISS NOEMI ADELINA CARCAR MD
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
1207Q00000XFamily Medicine PhysicianD41526GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3041526OTHERGAMEDICAL LICENSE

General Provider Information

NPI Number : 1164559571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS NOEMI ADELINA CARCAR MD
Provider Business Mailing Address
First Line : PO BOX 1520
Second Line :
City : HINESVILLE
State : GA
Zip : 31310-8520
Country : US
Telephone Number : 912-877-2227
Fax Number : 912-877-2332
Provider Business Practice Location Address
First Line : 303 FRASER DR
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-3712
Country : US
Telephone Number : 912-877-2227
Fax Number : 912-877-2332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 03/07/2023

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Directions to “ MISS NOEMI ADELINA CARCAR MD” Practice Location

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