Individual
DR. MARY HANNAH CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(912) 604-8693
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-7491
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH028182
GA
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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