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Individual

ROBERT SCOTT CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151
(256) 734-4688
(256) 736-5638
Mailing address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151
(256) 734-4688
(256) 736-5638

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
590000025
AL
Enumeration date
08/11/2011
Last updated
08/11/2011
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