Provider Demographics
NPI:1497785265
Name:CARTER, WILBUR B JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILBUR
Middle Name:B
Last Name:CARTER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:143 W FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-2539
Mailing Address - Country:US
Mailing Address - Phone:919-966-8596
Mailing Address - Fax:919-843-5515
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-966-8596
Practice Address - Fax:919-843-5515
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2010-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9401146207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8921580Medicaid
NC8921580Medicaid
NC2204309KMedicare UPIN
NCB62757Medicare UPIN
NC2347843Medicare PIN