Provider Demographics
NPI:1720637721
Name:CARR, RAYE M (CCHT)
Entity type:Individual
Prefix:MS
First Name:RAYE
Middle Name:M
Last Name:CARR
Suffix:
Gender:F
Credentials:CCHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 MILLS B LANE BLVD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-2960
Mailing Address - Country:US
Mailing Address - Phone:912-574-1543
Mailing Address - Fax:
Practice Address - Street 1:1810 MILLS B LANE BLVD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-2960
Practice Address - Country:US
Practice Address - Phone:912-574-1543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner