Provider Demographics
NPI:1538553607
Name:CARPENTER, MEAGAN ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:MEAGAN
Middle Name:ELIZABETH
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 MATTHEWS DRIVE
Mailing Address - Street 2:SUITE # A
Mailing Address - City:WAYNESBORO
Mailing Address - State:MS
Mailing Address - Zip Code:39367
Mailing Address - Country:US
Mailing Address - Phone:601-671-2742
Mailing Address - Fax:601-735-7266
Practice Address - Street 1:951 MATTHEWS DRIVE
Practice Address - Street 2:SUITE # A
Practice Address - City:WAYNESBORO
Practice Address - State:MS
Practice Address - Zip Code:39367
Practice Address - Country:US
Practice Address - Phone:601-671-2742
Practice Address - Fax:601-735-7266
Is Sole Proprietor?:No
Enumeration Date:2015-03-26
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.35544207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine