Charles J Carpenter JR. MD

NPI 1073508404 - Surgery - 208600000X

NPI Details
NPI 1073508404
Gender Male
Enumeration Date 09/12/2005
Last Updated 09/03/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
4300 W MAIN ST
SUITE 102
DOTHAN AL, 36305-1054, US
Phone (334) 793-9564
Fax (334) 671-8907
Business Location
4300 W MAIN ST
SUITE 102
DOTHAN AL, 36305-1054, US
Phone (334) 793-9564
Fax (334) 671-8907
Toxanomy
Taxonomy Code 208600000X
License State Alabama
License Number 17706
Remove 1073508404 NPI Number
 

According to our database, Charles J Carpenter JR. MD NPI is 1073508404, taxonomy code is 208600000X and license number is 17706, license state is located at Alabama. Charles J Carpenter JR. MD physically located at 4300 W Main St, Dothan AL, 36305-1054. NPI Number Charles J Carpenter JR. MD has the Individual type.

Sponsored links

1073508404 NPI number is provided on an as is basis without warranty of any kind. 1073508404 is maintained by the National Plan & Provider Enumeration System. The contents of Charles J Carpenter JR. MD are for informational purposes only.