Healthcare Provider Details

I. General information

NPI: 1841265774
Provider Name (Legal Business Name): STEVEN RAYMOND CARTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2170 MIDLAND RD
SOUTHERN PINES NC
28387
US

IV. Provider business mailing address

PO BOX 1938
SOUTHERN PINES NC
28388
US

V. Phone/Fax

Practice location:
  • Phone: 910-295-1221
  • Fax: 910-295-0512
Mailing address:
  • Phone: 910-295-1221
  • Fax: 910-295-0512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number24231
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: