NPI 1902109903

Jeffrey Wayne Carter

Practitioner Contractor Columbus, MS

Practice location

Address: 1809 7th Avenue North, Columbus, MS 39701
Phone: (662) 251-1064
Mailing address: P.O.Box 8774, Columbus, MS 39701

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 972770 (MS)

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Registry record

NPI: 1902109903
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2010
Record last updated: 13 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.