Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Carlos Stanford Clark II, MD

Individual provider Family Medicine Physician · NPI 1063851277

Dr. Carlos Stanford Clark II, MD is a Family Practice in Dothan, Alabama. Qualified in 2010, 16 years ago. Practices with Southern Clinic PC, a 25-clinician group and accepts Medicare assignment. Licensed in Alabama and Florida.

Years since qualifying
16
Licensed in
AL, FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

201 Doctors Dr
Dothan, AL 36301
Phone: (334) 794-6612
Fax: (334) 794-6614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD.32611 (AL)
Family Medicine Physician Taxonomy 207Q00000X · Licence ME116951 (FL)

Record details

NPI number1063851277
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2013
Last updated in NPPESAugust 18, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Southern Clinic Pc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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