Individual
MS. JOLIE MONTANA GAIL CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 812-9508
Mailing address
2601 OLD MILL RD, ASHLAND, AL 36251-7876
(256) 276-9796
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1-182702
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
GAA-NP002330
GA
Other
Enumeration date
04/30/2024
Last updated
05/30/2024
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