Individual provider · Type 1 NPI

Courtney Anne Carpenter, MD

Plastic and Reconstructive Surgery Physician · St. Paul, MN

NPI number 1255629911 Active

Practice location

200 University Ave E
St. Paul, MN 55101-2507

Mailing address

1001 Johnson Ferry Rd
Atlanta, GA 30342-1605

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000X274465 (NY)
Plastic Surgery Physician 208200000X074258 (GA)
Plastic Surgery Physician 208200000X71684 (MN)
Plastic and Reconstructive Surgery Physician Primary 2086S0122XV1424 (TX)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1255629911

Courtney Anne Carpenter, MD's National Provider Identifier is 1255629911, issued on Jul 15, 2011. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in St. Paul, MN. The record was last updated on Jun 11, 2024.