Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD.37843 | AL |
NPI | 1033559430 |
---|---|
Provider Name | Carter Louis Capra |
First Address | Mountain Brk, AL 35223-2457 |
Second Address | Birmingham, AL 35205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2013 |
Last Update Date | 25/07/2019 |