Individual
CHARLES CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 SUNSET CT STE 100, WEST COLUMBIA, SC 29169-2429
(803) 739-3550
Mailing address
600 CANALSIDE ST UNIT 3007, COLUMBIA, SC 29201-6046
(803) 682-1082
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
08/23/2024
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