Individual provider · NPI-1

B. Gordon Carnes, M.D.

Family Medicine · Fort Rucker, AL

NPI number1811943970
StatusActive
Last updated in NPPESNov 7, 2012

Details

NPI
1811943970
Entity type
Individual (NPI-1)
Name
B. Gordon Carnes
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 26, 2006
Last updated
Nov 7, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine28806KYYes

Practice location

Bld 301 Andrews Ave
Fort Rucker, AL 36362-5333

Phone 334-255-7363 · Fax 334-255-7368

Mailing address

Bld 301 Andrews Ave
Fort Rucker, AL 36362-5333

Phone 334-255-7363 · Fax 334-255-7368

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