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1053366120
MATTHEW D CARPENTER
MARIETTA, GA
NPI
1053366120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 004372)
Enumeration Date
2006-05-24
Last Update Date
2019-08-27
Business Address
MATTHEW D CARPENTER AAc
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-794-0477
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Mailing Address
MATTHEW D CARPENTER AAc
531 ROSELANE ST NW SUITE 830
MARIETTA, GA 30060-6913
Phone number: 770-794-0477
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