Individual
DAVID VANCE CARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1036 D A BIGLANE DR, BROOKHAVEN, MS 39601-2331
(601) 835-1182
(601) 835-1546
Mailing address
1036 D A BIGLANE DR, BROOKHAVEN, MS 39601-2331
(601) 835-1182
(601) 835-1546
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
07204
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018182
—
MS
Enumeration date
10/05/2006
Last updated
05/20/2008
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