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Individual

JAMES AUSTIN CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
627 MIDDLETON RD STE 600, WINONA, MS 38967-2021
(662) 283-1260
Mailing address
375 HONEYCUTT RD, GORE SPRINGS, MS 38929-9593
(662) 582-8054

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA7044
MS

Other

Enumeration date
04/14/2021
Last updated
04/14/2021
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