Lillian Rose Carter
Psychiatry & Neurology, Psychiatry in Jackson, MS. Individual provider (NPI-1).
NPI number1053929323
StatusActive
Last updated in NPPESJul 17, 2024
Details
- NPI
- 1053929323
- Entity type
- Individual (NPI-1)
- Name
- Lillian Rose Carter
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2020
- Certification date
- Jul 17, 2024
- Last updated
- Jul 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | T-5323 | MS | Yes |
Other names
- Lilly Rose Carter (Other Name)
Practice location
2500 N State StJackson, MS 39216-4500
Phone 601-984-1000
Mailing address
118 Copper Ridge CtMadison, MS 39110-6948
Phone 940-300-7288
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