Healthcare Provider Details

I. General information

NPI: 1316918238
Provider Name (Legal Business Name): JAMES STEWART CARR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 05/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10931 RAVEN RIDGE RD #113
RALEIGH NC
27614
US

IV. Provider business mailing address

4000 SPOTTER DRIVE , APT 9201
APEX NC
27502
US

V. Phone/Fax

Practice location:
  • Phone: 919-247-1135
  • Fax: 919-235-0098
Mailing address:
  • Phone: 919-247-1135
  • Fax: 919-235-0098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number35603
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: