Basic Information
Provider Information
NPI: 1316207806
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARTER
FirstName: MARGARET
MiddleName: FRONEBERGER
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1106 WETHERBURN CT
Address2:  
City: WINSTON SALEM
State: NC
PostalCode: 271041270
CountryCode: US
TelephoneNumber: 3367654656
FaxNumber:  
Practice Location
Address1: 7819 NATIONAL SERVICE RD
Address2: SUITE 404
City: GREENSBORO
State: NC
PostalCode: 274099401
CountryCode: US
TelephoneNumber: 3366640333
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/18/2012
LastUpdateDate: 08/29/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP2900X20129NCN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
207L00000X20129NCY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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