Individual
GILLIAN A CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5732 NEWBERRY POINT DR, FLOWERY BRANCH, GA 30542-2754
(770) 561-5131
Mailing address
5732 NEWBERRY POINT DR, FLOWERY BRANCH, GA 30542-2754
(770) 561-5131
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
051301
GA
208D00000X
General Practice Physician
Primary
053101
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000973398B
—
GA
Enumeration date
05/09/2006
Last updated
06/25/2021
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