1972032993 NPI number — FRANCESCA LOCKLEAR CARTER

Table of content: FRANCESCA LOCKLEAR CARTER (NPI 1972032993)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972032993 NPI number — FRANCESCA LOCKLEAR CARTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARTER
Provider First Name:
FRANCESCA
Provider Middle Name:
LOCKLEAR
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972032993
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/22/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1220 UMSTEAD HOLLOW PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27513-8461
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-961-7435
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7780 BRIER CREEK PKWY STE 306
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27617-8831
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-582-7272
Provider Business Practice Location Address Fax Number:
919-582-7274
Provider Enumeration Date:
06/05/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)