Healthcare Provider Details
I. General information
NPI: 1316207806
Provider Name (Legal Business Name): MARGARET FRONEBERGER CARTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/18/2012
Last Update Date: 08/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7819 NATIONAL SERVICE RD SUITE 404
GREENSBORO NC
27409-9401
US
IV. Provider business mailing address
1106 WETHERBURN CT
WINSTON SALEM NC
27104-1270
US
V. Phone/Fax
- Phone: 336-664-0333
- Fax:
- Phone: 336-765-4656
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 20129 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | 20129 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: