Healthcare Provider Details

I. General information

NPI: 1790802106
Provider Name (Legal Business Name): CAROLINA CONCEPTIONS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 LAKE DRIVE SUITE 301
RALEIGH NC
27607
US

IV. Provider business mailing address

2601 LAKE DRIVE SUITE 301
RALEIGH NC
27607
US

V. Phone/Fax

Practice location:
  • Phone: 919-782-5911
  • Fax: 919-861-6400
Mailing address:
  • Phone: 919-782-5911
  • Fax: 919-861-6400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM ROBERT MEYER
Title or Position: PRESIDENT
Credential: MD
Phone: 919-782-5911