Individual
HALIE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 350, COLUMBIA, SC 29203-6896
(803) 434-1663
(803) 434-7092
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5534
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/01/2024
Last updated
12/06/2024
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