| Vivian Jean Carr, PA-C | |
|
10003 Webster Rd, Camden On Gauley, WV 26208-0069 | |
| (304) 226-5725 | |
| (304) 226-3274 |
| Full Name | Vivian Jean Carr |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 10003 Webster Rd, Camden On Gauley, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093900714 | NPI | - | NPPES |
| 0035222000 | Medicaid | WV | |
| 01039 | Other | WV | WV BOARD OF MEDICINE |
| 406 | Other | WV | WV BOARD OF OSTEOPATHY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 01039 (West Virginia) | Primary |
| 363A00000X | Physician Assistant | 406 (West Virginia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian Jean Carr, PA-C Po Box 69, Camden On Gauley, WV 26208-0069 Ph: (304) 226-5725 | Vivian Jean Carr, PA-C 10003 Webster Rd, Camden On Gauley, WV 26208-0069 Ph: (304) 226-5725 |
Anna Katherine Bobbitt, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 10003 Webster Rd, Camden On Gauley, WV 26208 Phone: 304-226-5725 |