Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 29237 | NC |
NPI | 1013935162 |
---|---|
Provider Name | Dr. Frederick J Carpenter |
First Address | Durham, NC 27704-0609 |
Second Address | Durham, NC 27704-2702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 08/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8921424 | (05) | NC |
C83145 | (02) | NC |