Organization
DR. SHAUN CARPENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA MEARS RN, BSN (CAO)
(225) 347-4975
Entity
Organization
Contact information
Practice address
16453 COLORADO AVE, PARAMOUNT, CA 90723-5011
(985) 892-7070
(985) 892-7017
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
(985) 892-7017
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
07/21/2022
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