Individual
ROBERT PAUL CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2301 SOUTH LAMAR BLVD., OXFORD, MS 38655
(662) 232-8100
(334) 244-1830
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 386-2053
(334) 244-1830
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
19619
TN
367500000X
Certified Registered Nurse Anesthetist
R852840
MS
Other
Enumeration date
11/02/2006
Last updated
05/31/2016
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