Provider Demographics
NPI:1316918238
Name:CARR, JAMES STEWART (MD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:STEWART
Last Name:CARR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4000 SPOTTER DRIVE , APT 9201
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502
Mailing Address - Country:US
Mailing Address - Phone:919-247-1135
Mailing Address - Fax:919-235-0098
Practice Address - Street 1:10931 RAVEN RIDGE RD #113
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614
Practice Address - Country:US
Practice Address - Phone:919-247-1135
Practice Address - Fax:919-235-0098
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2019-05-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC35603207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2175571EMedicare ID - Type UnspecifiedNC MEDICARE
NCF37452Medicare UPIN