JIMMY WAYNE CARPENTER

WINSTON SALEM, NC
NPI1962781047
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2011-08-08
Last Update Date2011-08-08
Business Address
Mr. JIMMY WAYNE CARPENTER C.Ped
4500 INDIANA AVE STE 45
WINSTON SALEM, NC 27106-3269
Phone number: 336-245-4736
Mailing Address
Mr. JIMMY WAYNE CARPENTER C.Ped
4807 EDINBOROUGH RD
GREENSBORO, NC 27406-8322
Phone number: 336-674-6422
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