Provider Demographics
NPI:1568483352
Name:CARTER ORTHOPAEDICS AND SPORTS MEDICINE PLLC
Entity Type:Organization
Organization Name:CARTER ORTHOPAEDICS AND SPORTS MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-793-1043
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC000-32926207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCDB5327OtherRR MEDICARE
NC2338783Medicare ID - Type Unspecified