Elbretta Renise Carpenter
NPI #1366294712 in Loganville, Georgia
Provider Information
- NPI Number
- 1366294712
- Entity Type
- Individual
- Name
- Elbretta Renise Carpenter
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 1, 2024
- Last Updated
- Nov 15, 2024
Practice Location
- Address
- 3117 BENTLEY FARMS DR
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-3175
- Phone
- (470) 475-6911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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