Provider Demographics
NPI:1851462881
Name:CARTERET WOMENS HEALTH CENTER LTD
Entity Type:Organization
Organization Name:CARTERET WOMENS HEALTH CENTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:MOTLEY
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:252-726-8016
Mailing Address - Street 1:302 PENNY LANE
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557
Mailing Address - Country:US
Mailing Address - Phone:252-726-8016
Mailing Address - Fax:252-240-2091
Practice Address - Street 1:302 PENNY LANE
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557
Practice Address - Country:US
Practice Address - Phone:252-726-8016
Practice Address - Fax:252-240-2091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17407207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8901186Medicaid
NC8901186Medicaid
209301Medicare ID - Type Unspecified