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PHOEBE KITSUM CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
815 CURTIS PKWY SE, CALHOUN, GA 30701-3688
(706) 879-5800
(706) 625-3207
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703-7013
(706) 602-7800

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
23319
CA
363LA2200X
Adult Health Nurse Practitioner
APRN-NP331289
GA
363LA2200X
Adult Health Nurse Practitioner
COI.15443-NP
OH
363LG0600X
Gerontology Nurse Practitioner
23319
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN-NP331289
GA
363LG0600X
Gerontology Nurse Practitioner
COI.15443-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0095160
OH
01
COI.15443-NP
OHIO STATE LICENSE
OH
Enumeration date
08/04/2013
Last updated
12/23/2025
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