Organization Name: | CARPENTER HEALTH AND WELLNESS, PLLC |
NPI Number: | 1235568668 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL T CARPENTER (CEO) |
Mailing Address: | 5006 Cabretta Dr Moseley |
State: | VA US |
Postal Code: | 231201559 |
Phone Number: | 8046908268 |
Fax Number: | 8047399165 |
NPI Enumeration Date: | 11/06/2013 |
NPI Last Update Date: | 11/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |