Individual
DR. CARL SANFORD CARLSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD09616
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376529016
CAHABA
AL
01
—
3195310
MEDICARE OTHER
TN
05
—
3195310
—
TN
Enumeration date
12/15/2005
Last updated
01/04/2010
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