# THE CARTER CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487081956
- **Authorized official:** MYLEME HARRISON MD (PRESIDENT)
- **Authorized official phone:** (919) 848-0132

## Contact information

- **Practice address:** 6214 KILMORY DR, FAYETTEVILLE, NC 28304-2724
- **Practice address phone:** (919) 848-0132
- **Mailing address:** PO BOX 99778, RALEIGH, NC 27624-9778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2013
- **Last updated:** 09/30/2013