Healthcare Provider Details

I. General information

NPI: 1902541287
Provider Name (Legal Business Name): ALLISON ANNE CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 KIRKPATRICK RD STE 200
BURLINGTON NC
27215-8066
US

IV. Provider business mailing address

300 E WENDOVER AVE
GREENSBORO NC
27401-1229
US

V. Phone/Fax

Practice location:
  • Phone: 336-584-3100
  • Fax: 336-584-0696
Mailing address:
  • Phone: 336-663-5205
  • Fax: 336-663-5366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2025-00457
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: