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1447635719
ELLIOTT E. CARTER
JACKSON, MS
NPI
1447635719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: MS AT0382)
Enumeration Date
2015-07-28
Last Update Date
2015-07-28
Business Address
Mr. ELLIOTT E. CARTER MAT, ATC
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 601-200-2000
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Mailing Address
Mr. ELLIOTT E. CARTER MAT, ATC
122 NICHOLSON DR
TERRY, MS 39170-6001
Phone number: 601-709-6188
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