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Organization

CARTER CLINIC, P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MYLEME OJINGA HARRISON MD (PRESIDENT/OWNER)
(919) 848-0132
Entity
Organization

Contact information

Practice address
4009 BARRETT DR, RALEIGH, NC 27609-6616
(919) 848-0132
(919) 848-0277
Mailing address
6026 SIX FORKS RD, RALEIGH, NC 27609-3899
(919) 848-0132
(919) 848-0277

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
Primary
251S00000X
Community/Behavioral Health Agency
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017T9
BCBS
NC
05
890764Y
NC
Enumeration date
05/17/2006
Last updated
03/02/2021
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