Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 1024 | AL |
NPI | 1316363807 |
---|---|
Provider Name | Dr. Charles Karst III |
First Address | Montgomery, AL 36117-2625 |
Second Address | Montgomery, AL 36117-2625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2014 |
Last Update Date | 09/03/2014 |