Individual
DR. JAMES M. CARLILE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 CAMBRIDGE CT, WETUMPKA, AL 36093-1259
(334) 567-6915
(334) 514-7269
Mailing address
78 CAMBRIDGE CT, WETUMPKA, AL 36093-1259
(334) 567-6915
(334) 514-7269
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19637
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009921105
—
AL
01
—
051515392
BLUE CROSS
AL
Enumeration date
09/16/2005
Last updated
07/15/2011
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