Organization
RICHARD O. CARPENTER, M.D., LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD O. CARPENTER M.D. (ORGANIZER)
(800) 843-8216
Entity
Organization
Contact information
Practice address
14 NORCROSS ST, ROSWELL, GA 30075-3862
(800) 843-8216
Mailing address
14 NORCROSS ST, ROSWELL, GA 30075-3862
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
Primary
—
—
Other
Enumeration date
07/19/2015
Last updated
07/19/2015
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