Provider Demographics
NPI:1568527497
Name:CARNES, ROBERT M (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:CARNES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 W MAIN ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-1287
Mailing Address - Country:US
Mailing Address - Phone:334-794-2225
Mailing Address - Fax:334-794-0576
Practice Address - Street 1:2323 W MAIN ST
Practice Address - Street 2:SUITE 109
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-1287
Practice Address - Country:US
Practice Address - Phone:334-794-2225
Practice Address - Fax:334-794-0576
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0071325111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
630838061Medicare UPIN
AL000070677Medicare ID - Type Unspecified