Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | ANO4005277946 | TN |
Y | 207QS0010X | Family Doctor - Sports Medicine | 32438 | AL |
NPI | 1295047280 |
---|---|
Provider Name | Dr. Christopher Sean Carter |
First Address | Birmingham, AL 35205-1638 |
Second Address | Birmingham, AL 35205-1638 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2010 |
Last Update Date | 09/12/2019 |