Organization
GENERAL SURGERY ASSOCIATES OF DOTHAN PC
Active
Parent organization
CHARLES J CARPENTER, JR., MD
Other names
Charles J. Carpenter, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES J CARPENTER, JR., MD
Authorized official
CHARLES J CARPENTER JR. MD (OWNER/PRESIDEN)
(334) 793-9564
Entity
Organization
Contact information
Practice address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1054
(334) 793-9564
(334) 671-8907
Mailing address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1054
(334) 793-9564
(334) 671-8907
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17006
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529703840
—
AL
Enumeration date
01/19/2006
Last updated
09/03/2013
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