Individual
MS. EILEEN R CARTER
Active
Individual
MS. EILEEN R CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MBA
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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