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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JIMMY WAYNE CARPENTER, C.PED

Active Sole Proprietor

MR. JIMMY WAYNE CARPENTER, C.PED is a Specialist healthcare provider located in WINSTON SALEM, North Carolina. NPI 1962781047 is currently active in the NPPES registry. Verify at CMS.

Specialist · WINSTON SALEM, NC

Registration Details

NPI Number
1962781047
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2011 (15.048914019164 yrs)
Last Updated
Aug 8, 2011
Sole Proprietor
Yes

Practice Information

Address
4500 INDIANA AVE STE 45
WINSTON SALEM, NC, 271063269
Browse NC providers · Browse ZIP 27106
Phone
3362454736
Fax
8888127934
Primary Specialty
Specialist
174400000X

Other Specialist Providers in WINSTON SALEM, NC

Name Credential NPI
DR. EDWARD GRAY HILL JR. M.D. 1992795785
DR. CAROL E MOORE M.D. 1326025156
MR. DAVID M SPENCER M.D 1134143605
DR. ROBERT E. FINCH JR. M.D. 1538177878
MR. BRUCE RICHARD BOLLING MD 1720195571
MS. LYNN M BASLER PT 1528168887
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.