Individual
DR. RICHARD OWEN CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
987 CANTON ST BLDG 14, ROSWELL, GA 30075-4240
(404) 420-2697
(404) 420-2697
Mailing address
987 CANTON ST BLDG 14, ROSWELL, GA 30075-4240
(404) 939-4771
(404) 420-2697
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
037165
GA
2084P0800X
Psychiatry Physician
Primary
037165
GA
2084P0804X
Child & Adolescent Psychiatry Physician
037165
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000557884B
—
GA
Enumeration date
01/31/2007
Last updated
09/25/2021
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