Individual
CARL W HARTZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL CENTER DR., SUITE 101, GADSDEN, AL 35903-1130
(256) 492-8590
(256) 492-4498
Mailing address
100 MEDICAL CENTER DR., SUITE 101, GADSDEN, AL 35903-1130
(256) 492-8590
(256) 492-8590
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6015
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000002477
—
AL
05
—
2477
—
AL
01
—
51002477
BCBS AL
AL
Enumeration date
06/17/2006
Last updated
10/01/2020
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