Individual
MRS. ALICIA JANE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2810 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4138
(336) 860-6194
(336) 860-6236
Mailing address
PO BOX 604050, CHARLOTTE, NC 28260-4050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012894
NC
Other
Enumeration date
02/24/2020
Last updated
08/12/2021
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