Provider Demographics
NPI:1265985121
Name:CARTER, JOSEPH ANDREW (AUD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ANDREW
Last Name:CARTER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:DREW
Other - Middle Name:
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:441 MACK BAYOU LOOP
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459
Mailing Address - Country:US
Mailing Address - Phone:850-797-6191
Mailing Address - Fax:817-712-4054
Practice Address - Street 1:6601 AIRPORT BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3705
Practice Address - Country:US
Practice Address - Phone:850-797-6191
Practice Address - Fax:817-712-4054
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I641509OtherMEDICARE