Carpenter, Cody Garrett

Carpenter, Cody Garrett is an individual health care provider with primary practice located at 501 S Sharon Amity Rd Ste 300 , Charlotte NC 28211-0035. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Carpenter, Cody Garrett can be contacted via phone (704) 377-2424.

Contact Information

Primary practice address
501 S Sharon Amity Rd Ste 300 Charlotte NC 28211-0035
Fax: (704) 377-2687
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 2012-00810 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X TL30225 South Carolina

Profile Details

NPI number 1043367915
LBN Legal business name Carpenter, Cody Garrett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Nov 28th, 2018 - about 6 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 1043367915 NPPES
North Carolina Other 171J0 BCBS
North Carolina MEDICAID 302256 BCBS
North Carolina MEDICAID 59-21309 BCBS

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