Individual provider · Type 1 NPI

Victoria Lord Carr, PA

Surgical Physician Assistant · Smyrna, GA

NPI number 1114345089 Active

Practice location

3903 S Cobb Dr SE
Smyrna, GA 30080-8504

Mailing address

3540 Lee St SE
Smyrna, GA 30080-5622

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA08985 (TX)
Surgical Physician Assistant Primary 363AS0400X008635 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1114345089

Victoria Lord Carr, PA's National Provider Identifier is 1114345089, issued on Mar 28, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Smyrna, GA. The record was last updated on May 2, 2022.