Individual
KARIE ELIZABETH JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 VERNON RD STE A, LAGRANGE, GA 30240-4143
(706) 803-7570
Mailing address
102 GRACE CT, LAGRANGE, GA 30241-2101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
101529
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2017
Last updated
03/21/2025
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