Individual provider · Type 1 NPI
Jimmy Wayne Carpenter, C.PED
Specialist · Winston Salem, NC
NPI number
1962781047
Active
Practice location
4500 Indiana Ave Ste 45
Winston Salem, NC 27106-3269
Fax (888) 812-7934
Mailing address
4807 Edinborough Rd
Greensboro, NC 27406-8322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
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.
Another provider at this address
Other specialist providers in Winston Salem
- Carlo Pilapil Yuson, MDSpecialist Winston Salem, NC NPI 1093991176
- David M. Spencer, MDSpecialist Winston Salem, NC NPI 1134143605
- Rita L. Defazio, PTSpecialist Winston Salem, NC NPI 1174743058
- Lily Dejavu Le HandtSpecialist Winston Salem, NC NPI 1306561055
- Carol E. Moore, MDSpecialist Winston Salem, NC NPI 1326025156
- Thai Phan, MDSpecialist Winston Salem, NC NPI 1326135021
- Bernadette Pardo Abadiano, PTSpecialist Winston Salem, NC NPI 1386965788
- John Modarress, MDSpecialist Winston Salem, NC NPI 1427305564
About NPI 1962781047
Jimmy Wayne Carpenter, C.PED's National Provider Identifier is 1962781047, issued on Aug 8, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Winston Salem, NC. The record was last updated on Aug 8, 2011.