Provider Demographics
NPI:1275067407
Name:CARTER, ZACHARY JOHN (MD)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:JOHN
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3643 N. ROXBORO STREET
Mailing Address - Street 2:1ST FLOOR WATTS BUILDING
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704
Mailing Address - Country:US
Mailing Address - Phone:919-470-6200
Mailing Address - Fax:919-470-3207
Practice Address - Street 1:3643 N. ROXBORO STREET
Practice Address - Street 2:1ST FLOOR WATTS BUILDING
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704
Practice Address - Country:US
Practice Address - Phone:919-470-6200
Practice Address - Fax:919-470-3207
Is Sole Proprietor?:No
Enumeration Date:2017-04-14
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022-012402081P2900X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program