Provider Demographics
NPI:1881691988
Name:CARTER, PAUL MAURICE (MD)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:MAURICE
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ROBESON ST
Mailing Address - Street 2:STE 200
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-5520
Mailing Address - Country:US
Mailing Address - Phone:910-323-2696
Mailing Address - Fax:910-323-8636
Practice Address - Street 1:101 ROBESON ST
Practice Address - Street 2:STE 200
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5520
Practice Address - Country:US
Practice Address - Phone:910-323-2696
Practice Address - Fax:910-323-8636
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20708208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC21523OtherBLUECROSS BLUESHIELD
NC8921523Medicaid
201700Medicare ID - Type Unspecified
NC8921523Medicaid