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Individual

MS. EILEEN R CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, MBA

Contact information

Practice address
1811 FOREST HILLS RD W, WILSON, NC 27893-3412
(252) 243-7400
(252) 243-3291
Mailing address
2400 RUNNYMEADE RD NW, WILSON, NC 27896-1350
(252) 237-2414

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1870
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0777Y
BCBS GROUP NUMBER
NC
05
720777Y
NC
Enumeration date
06/04/2006
Last updated
07/30/2009
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