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Individual

KATRICE CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC-OB

Contact information

Practice address
104 SAXON FALLS CT, GREENVILLE, SC 29607-5374
(864) 386-2808
Mailing address
PO BOX 194, GREENVILLE, SC 29602-0194
(864) 386-2808

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
99907
SC
163WX0003X
Inpatient Obstetric Registered Nurse
99907
SC
172V00000X
Community Health Worker
174H00000X
Health Educator
374J00000X
Doula

Other

Enumeration date
08/13/2020
Last updated
08/13/2020
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