Carpenter, Darrell Wayne

Carpenter, Darrell Wayne is an individual health care provider with primary practice located at 364 Honeysuckle Rd , Dothan AL 36305-1140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Carpenter, Darrell Wayne can be contacted via phone (334) 794-8656.

Contact Information

Primary practice address
364 Honeysuckle Rd Dothan AL 36305-1140
Fax: (334) 701-7047
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31965 Alabama

Profile Details

NPI number 1770522955
LBN Legal business name Carpenter, Darrell Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Aug 29th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770522955 NPPES
Georgia MEDICAID 000656752B
Georgia MEDICAID 142345

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