Organization
CARTER CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLEME HARRISON MD (CEO)
(919) 848-0132
Entity
Organization
Contact information
Practice address
2151 SKIBO RD, FAYETTEVILLE, NC 28314-0252
(919) 848-0132
Mailing address
PO BOX 99778, RALEIGH, NC 27624-9778
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
163WP2201X
Ambulatory Care Registered Nurse
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916438
—
NC
Enumeration date
04/19/2012
Last updated
08/29/2023
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