| Doctor Name: | MS. SUSAN ELAINE CARPENTER |
| NPI Number: | 1639107303 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN083881 |
| Business Practice Address: | 3931 Mundy Mill Rd Oakwood, GA - 305663413 |
| Business Phone Number: | 4047288240 |
| Business Fax Number: | |
| Mailing Address: | 27 Walking Horse Ln, CLEVELAND |
| State: | GA |
| Postal Code: | 305285072 |
| Phone Number: | 7088657917 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | RN083881 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |