Charles Jackie Carpenter JR., MD

NPI #1073508404 in Dothan, Alabama

Provider Information

NPI Number: 1073508404
Entity Type: Individual
Name: Charles Jackie Carpenter JR., MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Sep 12, 2005
Last Updated: Mar 3, 2021

Practice Location

Address: 4300 W MAIN ST STE 21
City: Dothan
State: Alabama
ZIP Code: 36305-1058
Phone: (334) 793-9564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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