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Individual

DR. COURTNEY ANNE CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 602-3277
Mailing address
1001 JOHNSON FERRY RD, ATLANTA, GA 30342-1605
(404) 785-3782

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
074258
GA
208200000X
Plastic Surgery Physician
274465
NY
208200000X
Plastic Surgery Physician
71684
MN
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
V1424
TX

Other

Enumeration date
07/15/2011
Last updated
06/11/2024
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