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NPI 1073508404

IndividualActive

Charles Carpenter, MD

NPI 1073508404 · Surgery Physician · Dothan, AL

Provider details

NPI number: 1073508404
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: Yes
License: 17706 (AL)

Practice location

4300 W Main St Ste 21

Dothan, AL 36305-1058

Phone: (334) 793-9564

Fax: (334) 671-8907

More AL providers

Mailing address

Po Box 6599

Dothan, AL 36302-6599

Registry dates

Enumerated: 2005-09-12
Last updated: 2021-03-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Charles Carpenter, MD — NPI 1073508404, Dothan, AL | NPI Central