Individual
MS. CHRISTINE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7305 WALDEN BROOK DR, LITHONIA, GA 30038-1279
(404) 916-9782
Mailing address
7305 WALDEN BROOK DR, LITHONIA, GA 30038-1279
(404) 916-9782
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN198445
GA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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