Individual provider · NPI-1

Karie Elizabeth Jeter, MD

Surgery · Lagrange, GA

NPI number1376076141
StatusActive
Last updated in NPPESMar 21, 2025

Details

NPI
1376076141
Entity type
Individual (NPI-1)
Name
Karie Elizabeth Jeter
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 7, 2017
Certification date
Mar 21, 2025
Last updated
Mar 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery101529GAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1600 Vernon Rd Ste A
Lagrange, GA 30240-4143

Phone 706-803-7570

Mailing address

102 Grace Ct
Lagrange, GA 30241-2101

Other practice locations

1514 Vernon Rd
Lagrange, GA 30240-4131

Phone 706-882-1411

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