Individual
SHREY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 POTOMAC AVE, ALEXANDRIA, VA 22305-3084
(703) 721-6300
Mailing address
3000 POTOMAC AVE, ALEXANDRIA, VA 22305-3084
(703) 721-6300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101265119
VA
Other
Enumeration date
04/29/2015
Last updated
06/27/2021
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