Provider Demographics
NPI:1245207919
Name:CARTER, MICHAEL D (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5220 OLEANDER DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-7021
Mailing Address - Country:US
Mailing Address - Phone:910-793-1043
Mailing Address - Fax:910-793-1243
Practice Address - Street 1:5220 OLEANDER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-7021
Practice Address - Country:US
Practice Address - Phone:910-793-1043
Practice Address - Fax:910-793-1243
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC000-32926207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2466248001OtherCIGNA
NC8921550Medicaid
NC5054515OtherMEDCOST-AETNA-PRONET
NC011257OtherDOCTORS HEALTH PLAN
NC092889OtherUNITED HEALTH CARE
NC21550OtherBLUE CROSS BLUE SHEILD
NC65530OtherMEDCOST
NCP00111991OtherRAIL ROAD MEDICARE
NC2466248001OtherCIGNA
NC212037HMedicare ID - Type Unspecified