MEDICARE: MR. JAMES PATRICK CARTER PAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	103026	NC

General Provider Information

NPI Number	:	1073547618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES PATRICK CARTER PAC

Provider Business Mailing Address
First Line	:	232 BARBOURS LN
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-7105
Country	:	US
Telephone Number	:	910-338-6346
Fax Number	:

Provider Business Practice Location Address
First Line	:	958 US HWY 64 EAST
Second Line	:
City	:	PLYMOUTH
State	:	NC
Zip	:	27962-9216
Country	:	US
Telephone Number	:	252-793-4135
Fax Number	:	252-793-1530

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	06/15/2016

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Directions to “ MR. JAMES PATRICK CARTER PAC” Practice Location

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