Individual
MRS. CHERYL DENISE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
705 S MANGUM ST, DURHAM, NC 27701-3904
(919) 683-1607
Mailing address
705 S MANGUM ST, DURHAM, NC 27701-3904
(919) 683-1607
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-05203
NC
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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