MEDICARE: MR. PAUL MAURICE CARTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	20708	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	21523	OTHER	NC	BLUECROSS BLUESHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881691988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL MAURICE CARTER M.D.

Provider Business Mailing Address
First Line	:	101 ROBESON ST
Second Line	:	STE 200
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-5520
Country	:	US
Telephone Number	:	910-323-2696
Fax Number	:	910-323-8636

Provider Business Practice Location Address
First Line	:	101 ROBESON ST
Second Line	:	STE 200
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-5520
Country	:	US
Telephone Number	:	910-323-2696
Fax Number	:	910-323-8636

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	05/14/2014

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