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1578038915
LISA RENE'E CARPENTER
AUGUSTA, GA
NPI
1578038915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN148979)
Enumeration Date
2018-10-12
Last Update Date
2018-11-14
Business Address
Mrs. LISA RENE'E CARPENTER NP
1350 WALTON WAY
AUGUSTA, GA 30901-2629
Phone number: 706-722-9011
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Mailing Address
Mrs. LISA RENE'E CARPENTER NP
PO BOX 1705
AUGUSTA, GA 30903-1705
Phone number: 706-774-7263
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