Healthcare Provider Details

I. General information

NPI: 1467191247
Provider Name (Legal Business Name): KARA ELIZABETH MACINTYRE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 FIDELITY ST
CARRBORO NC
27510-2002
US

IV. Provider business mailing address

127 FIDELITY ST
CARRBORO NC
27510-2002
US

V. Phone/Fax

Practice location:
  • Phone: 919-933-8381
  • Fax: 919-933-6623
Mailing address:
  • Phone: 919-933-8381
  • Fax: 919-933-6623

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 StateVA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number202501591
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: