Individual
MARY CHARLOTTE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
123 CANAL ST, POOLER, GA 31322-4103
(912) 988-1283
Mailing address
8 BITTERROOT LN, SAVANNAH, GA 31419-9507
(912) 414-7804
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015482
GA
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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