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NPI Code Detail

MEDICARE: DR. GREGG KEVIN CARR M.D.

MEDICARE: DR. GREGG KEVIN 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
1207X00000XOrthopaedic Surgery Physician22420AL

Other Identifiers

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

General Provider Information

NPI Number : 1528112885
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGG KEVIN CARR M.D.
Provider Business Mailing Address
First Line : 516 BROOKWOOD BLVD
Second Line : FLOOR 2
City : BIRMINGHAM
State : AL
Zip : 35209-6802
Country : US
Telephone Number : 205-397-2663
Fax Number : 205-278-0049
Provider Business Practice Location Address
First Line : 516 BROOKWOOD BLVD
Second Line : FLOOR 2
City : BIRMINGHAM
State : AL
Zip : 35209-6802
Country : US
Telephone Number : 205-397-2663
Fax Number : 205-278-0049
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 01/23/2013

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