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Elbretta Renise Carpenter
Specialist in Loganville, Georgia
NPI 1366294712

Elbretta Renise Carpenter is a Specialist based in Winder, GA. Elbretta Renise Carpenter practices in Loganville, GA. The NPI Number for Elbretta Renise Carpenter is 1366294712 and holds a License No. COO87445 (Georgia).

The current practice location address for Elbretta Renise Carpenter is 3117 Bentley Farms Dr, Loganville, GA and can be reached out via phone at 470-475-6911. You can also correspond with Elbretta Renise Carpenter through the mailing address at 45 S CENTER ST, WINDER, GA - 30680-2553 (mailing address contact number: 770-241-6905).

Location: 3117 Bentley Farms Dr, Loganville, GA, 30680-2553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366294712
Provider Name
Elbretta Renise Carpenter
Credential
Provider Entity Type
Individual
Gender
Female
Address
3117 Bentley Farms Dr, Loganville, GA, 30680-2553
Phone Number
470-475-6911
Fax Number
Provider Enumeration Date
04/01/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3117 Bentley Farms Dr
City
Loganville
State
Georgia
Zip
30052-3175
Phone Number
470-475-6911
Fax Number
person
Provider Business Mailing Address Details
Address
3117 Bentley Farms Dr
City
Loganville
State
Georgia
Zip
30052-3175
Phone Number
470-475-6911
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
COO87445 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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