Jimmy Wayne Carpenter, C.Ped
Specialist in Winston Salem, NC. Individual provider (NPI-1).
NPI number1962781047
StatusActive
Last updated in NPPESAug 8, 2011
Details
- NPI
- 1962781047
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jimmy Wayne Carpenter
- Credential
- C.Ped
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2011
- Last updated
- Aug 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
4500 Indiana Ave Ste 45Winston Salem, NC 27106-3269
Phone 336-245-4736 · Fax 888-812-7934
Mailing address
4807 Edinborough RdGreensboro, NC 27406-8322
Phone 336-674-6422 · Fax 336-674-2282
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All 38 Specialist providers in Winston Salem · All 11,775 providers in Winston Salem
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