Provider Demographics
NPI:1225624554
Name:CARTER, SKYLER DAVIS
Entity Type:Individual
Prefix:
First Name:SKYLER
Middle Name:DAVIS
Last Name:CARTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 S LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-3136
Mailing Address - Country:US
Mailing Address - Phone:330-257-8365
Mailing Address - Fax:
Practice Address - Street 1:832 S LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-3136
Practice Address - Country:US
Practice Address - Phone:330-257-8365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide