Individual
SANDRA L CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
403 BAY ST, GADSDEN, AL 35901-5107
(256) 546-1011
(256) 546-3011
Mailing address
403 BAY ST, GADSDEN, AL 35901-5107
(256) 546-1011
(256) 546-3011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22495
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009959790
—
AL
01
—
01D0987421
CLIA WAIVED
AL
Enumeration date
04/10/2006
Last updated
03/07/2023
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