Organization
RICHARD O. CARPENTER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD OWEN CARPENTER M.D. (PRESIDENT)
(800) 843-8216
Entity
Organization
Contact information
Practice address
14 NORCROSS ST, ROSWELL, GA 30075-3810
(800) 843-8216
(770) 650-2668
Mailing address
5450 ERROL PL NW, ATLANTA, GA 30327-4869
(800) 843-8216
(770) 650-2668
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
037165
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000557884B
—
GA
Enumeration date
12/06/2008
Last updated
12/06/2008
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