Carpenter, Richard Owen

Carpenter, Richard Owen is an sole proprietor health care provider with primary practice located at 987 Canton St Bldg 14 , Roswell GA 30075-4240. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Carpenter, Richard Owen can be contacted via phone (404) 420-2697.

Contact Information

Primary practice address
987 Canton St Bldg 14 Roswell GA 30075-4240
Phone: (404) 420-2697
Fax: (404) 420-2697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2084P0005X 037165 Georgia
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 037165 Georgia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 037165 Georgia

Profile Details

NPI number 1639216575
LBN Legal business name Carpenter, Richard Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Sep 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639216575 NPPES
Georgia MEDICAID 000557884B

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