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Individual

JOEL PHILIP CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1605 ROBERTA DR SW, MARIETTA, GA 30008-3855
(770) 419-3120
(770) 419-3121
Mailing address
1605 ROBERTA DRIVE, MARIETTA, GA 30008
(770) 419-3120
(770) 419-3121

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26790
TN
207Q00000X
Family Medicine Physician
77437
IL
207Q00000X
Family Medicine Physician
ME 59150
FL

Other

Enumeration date
10/19/2016
Last updated
04/12/2022
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