Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES JACKIE CARPENTER JR., MD
Active Sole ProprietorCHARLES JACKIE CARPENTER JR., MD is a General Surgery healthcare provider located in DOTHAN, Alabama. NPI 1073508404 is currently active in the NPPES registry. Verify at CMS.
General Surgery · DOTHAN, AL
Registration Details
- NPI Number
- 1073508404
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2005 (20.891696318514 yrs)
- Last Updated
- Mar 3, 2021
- License
-
17706 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4300 W MAIN ST STE 21DOTHAN, AL, 363051058Browse AL providers · Browse ZIP 36305
- Phone
- 3347939564
- Fax
- 3346718907
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in DOTHAN, AL
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN M. FENDLEY | M.D. | 1396740577 |
| DR. JONATHAN L. SKINNER | M.D. | 1730184912 |
| DR. JASON D. BEAVER | M.D. | 1740285931 |
| DR. JOHN P. MOORE JR. | M.D. | 1720083561 |
| JEFFREY BRAY WHITEHURST | MD | 1154316586 |
| RANDALL WAYNE NICHOLS | M.D. | 1518055334 |
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.