DERRICK WILLIAM CARPENTER

CUMBERLAND, MD
NPI1790428894
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0008960)
Enumeration Date2022-04-16
Last Update Date2023-08-16
Business Address
DERRICK WILLIAM CARPENTER PA-C
12414 NAVES CROSSROAD NE
CUMBERLAND, MD 21502
Phone number: 240-808-8482
Mailing Address
DERRICK WILLIAM CARPENTER PA-C
64 LAVALE CT
LAVALE, MD 21502-7421
Phone number: 301-697-6762