Individual provider · Type 1 NPI
Elbretta Renise Carpenter
Specialist · Loganville, GA
NPI number
1366294712
Active
Practice location
3117 Bentley Farms Dr
Loganville, GA 30052-3175
Mailing address
226 Alcovy St Ste A4
Monroe, GA 30655-2184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | COO87445 (GA) |
Specialist: 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.
Other specialist providers in Loganville
About NPI 1366294712
Elbretta Renise Carpenter's National Provider Identifier is 1366294712, issued on Apr 1, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Loganville, GA. The record was last updated on Nov 15, 2024.