Most Relevant Information
Provider Data
| NPI Number: | 1003636689 |
| Provider Name: | CHRISTINE CARPENTER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/16/2024 |
| Last Updated: | 10/21/2024 |
Provider Practice Location
1364 CLIFTON RD NE
ATLANTA
GA
303221059
Practice Location Phone/Fax
| Phone: | 4047122000 |
| Fax: |
Provider Mailing Location
3635 HAMBY OAKS DR
ALPHARETTA
GA
300045920
Provider Mailing Phone/Fax
| Phone: | 4044579652 |
| Fax: |