Healthcare Provider Details

I. General information

NPI: 1568483352
Provider Name (Legal Business Name): CARTER ORTHOPAEDICS AND SPORTS MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 10/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5220 OLEANDER DR
WILMINGTON NC
28403-7021
US

IV. Provider business mailing address

5220 OLEANDER DR
WILMINGTON NC
28403-7021
US

V. Phone/Fax

Practice location:
  • Phone: 910-793-1043
  • Fax: 910-793-1243
Mailing address:
  • Phone: 910-793-1043
  • Fax: 910-793-1243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number000-32926
License Number StateNC

VIII. Authorized Official

Name: DR. MICHAEL D CARTER
Title or Position: MANAGING PHYSICIAN
Credential: M.D.
Phone: 910-793-1043