Provider Demographics
NPI:1679132799
Name:CARTER, JOE LEWIS JR
Entity type:Individual
Prefix:MR
First Name:JOE
Middle Name:LEWIS
Last Name:CARTER
Suffix:JR
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 1:570 HOPKINS LANDING DR
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-2230
Mailing Address - Country:US
Mailing Address - Phone:443-226-0090
Mailing Address - Fax:
Practice Address - Street 1:1310 6TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3495
Practice Address - Country:US
Practice Address - Phone:202-234-7414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant