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Individual

DARRELL WAYNE CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
364 HONEYSUCKLE RD, DOTHAN, AL 36305-1140
(334) 794-8656
(334) 701-7047
Mailing address
364 HONEYSUCKLE RD, DOTHAN, AL 36305-1140
(334) 794-8656
(334) 701-7047

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31965
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000656752B
GA
05
142345
AL
Enumeration date
06/05/2006
Last updated
08/29/2013
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