Individual
CARRIE E CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1655
SC
152W00000X
Optometrist
2233
NC
Other
Enumeration date
04/19/2012
Last updated
09/30/2020
Update your record
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