Provider Demographics
NPI:1740331818
Name:CARTER A. SMITH
Entity type:Organization
Organization Name:CARTER A. SMITH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CARTER
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:251-479-6900
Mailing Address - Street 1:2501 DAUPHIN ISLAND PKWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36605-3406
Mailing Address - Country:US
Mailing Address - Phone:251-479-6900
Mailing Address - Fax:251-479-6869
Practice Address - Street 1:2501 DAUPHIN ISLAND PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36605-3406
Practice Address - Country:US
Practice Address - Phone:251-479-6900
Practice Address - Fax:251-479-6869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2127111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALV09109Medicare UPIN