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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ELLIOTT E. CARTER, MAT, ATC

Active Sole Proprietor

MR. ELLIOTT E. CARTER, MAT, ATC is a Clinic/Center healthcare provider located in JACKSON, Mississippi. NPI 1447635719 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · JACKSON, MS

Registration Details

NPI Number
1447635719
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2015 (11.063260525736 yrs)
Last Updated
Jul 28, 2015
License
AT0382 (MS)
Sole Proprietor
Yes

Practice Information

Address
969 LAKELAND DR
JACKSON, MS, 392164606
Browse MS providers · Browse ZIP 39216
Phone
6012002000
Primary Specialty
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.