Individual
MS. AMY R CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
45 PINE STREET, 1ST MEDICAL GROUP, LANGLEY AFB, VA 23665-2080
(757) 764-6789
Mailing address
111 GRAND VIEW DR, HAMPTON, VA 23664-1954
(757) 851-1982
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
855712
—
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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