Provider Demographics
NPI:1932294196
Name:GREGORY T. CARTER, D.C., P.A.
Entity Type:Organization
Organization Name:GREGORY T. CARTER, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:T
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-866-0087
Mailing Address - Street 1:10640 DURANT RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-6565
Mailing Address - Country:US
Mailing Address - Phone:919-866-0087
Mailing Address - Fax:919-866-0950
Practice Address - Street 1:10640 DURANT RD
Practice Address - Street 2:SUITE 102
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-6565
Practice Address - Country:US
Practice Address - Phone:919-866-0087
Practice Address - Fax:919-866-0950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2062111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08223OtherBCBS PROVIDER ID
NC08223OtherBCBS PROVIDER ID