Provider Demographics
NPI:1043700081
Name:CARLE, DAVID ALAN (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ALAN
Last Name:CARLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:EMERGENCY MEDICINE DEPARTMENT
Mailing Address - Street 2:3131 S. MAIN ST.
Mailing Address - City:MOULTRIE
Mailing Address - State:GA
Mailing Address - Zip Code:31738
Mailing Address - Country:US
Mailing Address - Phone:229-890-3479
Mailing Address - Fax:229-891-9018
Practice Address - Street 1:EMERGENCY MEDICINE DEPARTMENT
Practice Address - Street 2:3131 S. MAIN ST.
Practice Address - City:MOUTRIE
Practice Address - State:GA
Practice Address - Zip Code:31738
Practice Address - Country:US
Practice Address - Phone:229-890-3479
Practice Address - Fax:229-891-9018
Is Sole Proprietor?:No
Enumeration Date:2018-05-15
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA87489207P00000X
SCLL52351207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine