Vivian Jean Carr, PA-C

NPI #1093900714 in Camden On Gauley, West Virginia

Provider Information

NPI Number: 1093900714
Entity Type: Individual
Name: Vivian Jean Carr, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 6, 2007
Last Updated: Jan 21, 2009

Practice Location

Address: 10003 WEBSTER RD
City: Camden On Gauley
State: West Virginia
ZIP Code: 26208-0069
Phone: (304) 226-5725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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