Individual
MR. THOMAS JAMES CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCCPSS, BS
Contact information
Practice address
272 PINE RIDGE RD, MOUNT AIRY, NC 27030-8678
(336) 483-7973
Mailing address
272 PINE RIDGE RD, MOUNT AIRY, NC 27030-8678
(336) 483-7973
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2024-4806-01
NC
Other
Enumeration date
02/01/2025
Last updated
02/04/2025
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