| Richard O. Carpenter, M.d., P.c. | |
|
14 Norcross St Roswell GA 30075-3810 | |
| (800) 843-8216 | |
| (770) 650-2668 |
| Full Name | Richard O. Carpenter, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 14 Norcross St, Roswell, Georgia |
| Authorized Official Name and Position | Richard Owen Carpenter (PRESIDENT) |
| Authorized Official Contact | 8008438216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard O. Carpenter, M.d., P.c. 5450 Errol Pl Nw Atlanta GA 30327-4869 Ph: (800) 843-8216 | Richard O. Carpenter, M.d., P.c. 14 Norcross St Roswell GA 30075-3810 Ph: (800) 843-8216 |
| NPI Number | 1396980249 |
|---|---|
| Provider Enumeration Date | 12/06/2008 |
| Last Update Date | 12/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396980249 | NPI | - | NPPES |
| 000557884B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 037165 (Georgia) | Primary |
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