Carter, Timothy Robert

Carter, Timothy Robert is an individual health care provider with primary practice located at 4420 Lake Boone Trl , Raleigh NC 27607-7505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Carter, Timothy Robert can be contacted via phone (919) 783-3058.

Contact Information

Primary practice address
4420 Lake Boone Trl Raleigh NC 27607-7505
Fax: (919) 783-3363
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 33477 North Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 33477 North Carolina

Profile Details

NPI number 1275509184
LBN Legal business name Carter, Timothy Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jan 15th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275509184 NPPES
North Dakota Other 21517 BCBS
North Dakota MEDICAID 7921517 BCBS

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