Individual
MR. ELLIOTT E. CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, ATC
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-2000
Mailing address
122 NICHOLSON DR, TERRY, MS 39170-6001
(601) 709-6188
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AT0382
MS
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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