Organization
RICHARD H CARPENTER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD H CARPENTER MD (OWNER)
(804) 435-8569
Entity
Organization
Contact information
Practice address
101 HARRIS DRIVE, KILMARNOCK, VA 22482
(804) 435-8569
Mailing address
PO BOX 3391, MARTINSVILLE, VA 24115-3391
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG2406
RAILROAD MEDICARE
—
Enumeration date
02/08/2007
Last updated
12/07/2007
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