Individual
DR. JEFFREY SCOTT CHARPENTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81 PROMINENCE CT STE 200, DAWSONVILLE, GA 30534-6372
(770) 219-6520
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
055113
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467509244I
—
GA
01
—
P00239852
RAILROAD MEDICARE
GA
Enumeration date
05/23/2005
Last updated
10/18/2023
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