Provider Demographics
NPI:1699316323
Name:CARTER, WALTER L JR (CEO/ ABLEMED SUPPLY)
Entity type:Individual
Prefix:MR
First Name:WALTER
Middle Name:L
Last Name:CARTER
Suffix:JR
Gender:M
Credentials:CEO/ ABLEMED SUPPLY
Other - Prefix:
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Mailing Address - Street 1:122 HERITAGE WAY
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-9650
Mailing Address - Country:US
Mailing Address - Phone:912-677-9672
Mailing Address - Fax:
Practice Address - Street 1:11 GATEWAY BLVD S STE 13
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-9058
Practice Address - Country:US
Practice Address - Phone:912-344-4675
Practice Address - Fax:912-231-3569
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAPHDME000264332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies