Provider Demographics
NPI:1467587246
Name:CARR, JAMES MARSHALL III
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MARSHALL
Last Name:CARR
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6732 STONYHILL RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-8019
Mailing Address - Country:US
Mailing Address - Phone:865-219-0070
Mailing Address - Fax:
Practice Address - Street 1:2419 WASHINGTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-3321
Practice Address - Country:US
Practice Address - Phone:865-524-3453
Practice Address - Fax:865-524-9925
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4118183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist