Individual
CARSON BENNETT PENKAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
995 9TH AVE SW, BESSEMER, AL 35022-4527
(205) 481-7000
Mailing address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30037
AL
Other
Enumeration date
06/19/2008
Last updated
06/24/2022
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