Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | 5499 | NC |
NPI | 1609452648 |
---|---|
Provider Name | Dr. Jarice Carr |
First Address | Charlotte, NC 28205-2300 |
Second Address | Charlotte, NC 28205-2300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2021 |
Last Update Date | 21/03/2021 |