Lake, Brenton Carter

Lake, Brenton Carter is an sole proprietor health care provider with primary practice located at 1120 15Th St 2Nd Floor, Room Bt2601, Augusta GA 30912-0004. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Lake, Brenton Carter can be contacted via phone (706) 446-1234.

Contact Information

Primary practice address
1120 15Th St 2Nd Floor, Room Bt2601 Augusta GA 30912-0004
Phone: (706) 446-1234
Fax: (706) 721-9505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0024272 Georgia
Pharmacy Service Providers / Pharmacist 183500000X 12567 South Carolina

Profile Details

NPI number 1538406590
LBN Legal business name Lake, Brenton Carter
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2013
Last updated Dec 17th, 2015 - about 11 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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