Mary H Carr
Individual provider Active NPI Chore Provider · Brandon, MS
NPI 1740838366 · NPPES record last updated Aug 27, 2019
Key facts
- NPI
- 1740838366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chore Provider 372500000X
- Practice address
- 124 Formosa Dr
Brandon, MS 39047-7911 - Phone
- (601) 259-7393
- NPI assigned
- Aug 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | Yes |
Addresses
Primary practice location
124 Formosa Dr
Brandon, MS 39047-7911
Mailing address
1270 Woodfield Dr
Jackson, MS 39211-2023
Phone (601) 720-0790
Other providers in Brandon, MS
- Care Management, LLC
- Care Wagon Senior Transportation Service LLC
- Robin Carlisle
- Daniel Ray Carney
- Tim Carney
- Aleicha H Carter
- Delecia Carter
- Carter'S Compassionate Counsel
- Earnestine Cartier
- William Cartier
All providers in Brandon, MS · Chore Provider in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.