Provider Demographics
NPI:1578795282
Name:CARTER, EMILY P (AA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:P
Last Name:CARTER
Suffix:
Gender:F
Credentials:AA
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:E
Other - Last Name:PETERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AA
Mailing Address - Street 1:P.O. BOX 52404
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-6484
Mailing Address - Country:US
Mailing Address - Phone:256-880-6711
Mailing Address - Fax:256-880-6712
Practice Address - Street 1:1 HOSPITAL DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6455
Practice Address - Country:US
Practice Address - Phone:256-429-5071
Practice Address - Fax:256-880-6712
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO367H00000X
ALAA.844367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant