Individual
MS. SUSAN ELAINE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3931 MUNDY MILL RD, OAKWOOD, GA 30566-3413
(404) 728-8240
Mailing address
27 WALKING HORSE LN, CLEVELAND, GA 30528-5072
(708) 865-7917
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN083881
GA
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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