Individual
JEREMY ALLAN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 SOUTH BLVD STE 103, CHARLOTTE, NC 28203-5773
(704) 316-3017
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-3017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036166394
IL
207Q00000X
Family Medicine Physician
Primary
2025-03569
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/24/2020
Last updated
02/17/2026
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