# CARTER CLINIC, PA

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

## Provider details

- **NPI number:** 1679079537
- **Authorized official:** MYLEME OJINA HARRISON MD (CEO)
- **Authorized official phone:** (919) 848-0132

## Contact information

- **Practice address:** 260 1ST AVE NW STE 215, HICKORY, NC 28601-6161
- **Practice address phone:** (919) 423-0267
- **Mailing address:** 6026 SIX FORKS RD, RALEIGH, NC 27609-3899
- **Mailing address phone:** (919) 848-0132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/31/2018
- **Last updated:** 06/16/2018
