Provider Demographics
NPI:1780899211
Name:HUNER, CARRIE BLACK (MD)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:BLACK
Last Name:HUNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3056 HEALTHY WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2435
Mailing Address - Country:US
Mailing Address - Phone:205-995-9909
Mailing Address - Fax:205-930-2063
Practice Address - Street 1:3056 HEALTHY WAY STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243
Practice Address - Country:US
Practice Address - Phone:205-995-9909
Practice Address - Fax:205-930-2063
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26468207Q00000X
ALMD.26468207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I086151Medicare PIN
AL510I080027Medicare PIN