CHARLES JACKIE CARPENTER, MD

NPI: 1073508404 · Individual · Active

Primary Specialty

Surgery Physician
Surgery

Practice Location

4300 W MAIN ST STE 21
DOTHAN, AL 36305-1058 Map ↗
Phone: 334-793-9564
Fax: 334-671-8907

All Specialties & Licenses

  • Surgery Physician Primary (license: 17706, AL)

HIE Endpoints

  • DIRECT: charles.carpenter.1@3326.direct.athenahealth.com

NPI Registration

Enumerated: 2005-09-12

Last CMS Update: 2021-03-03