CHARLES JACKIE CARPENTER

DOTHAN, AL
NPI1073508404
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: AL  17706)
Enumeration Date2005-09-12
Last Update Date2021-03-03
Business Address
CHARLES JACKIE CARPENTER MD
4300 W MAIN ST STE 21
DOTHAN, AL 36305-1058
Phone number: 334-793-9564
Mailing Address
CHARLES JACKIE CARPENTER MD
PO BOX 6599
DOTHAN, AL 36302-6599
Phone number: 334-699-7900
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