Individual
ROBERT G CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 RIVERSIDE CIR STE 1006, ROANOKE, VA 24016-4955
(540) 224-5352
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 282-9080
(207) 467-8910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD19517
ME
207R00000X
Internal Medicine Physician
Primary
0101277892
VA
207R00000X
Internal Medicine Physician
MD19517
ME
207RR0500X
Rheumatology Physician
MD19517
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225010184
ANTHEM
ME
05
—
1225010184
—
ME
01
—
845433
AETNA
ME
Enumeration date
11/16/2005
Last updated
04/20/2023
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