Provider Demographics
NPI:1487007027
Name:CARTER, LINDSAY IVEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:IVEY
Last Name:CARTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:LINDSAY
Other - Middle Name:JILL
Other - Last Name:IVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:102 N HARRIS ST
Mailing Address - Street 2:
Mailing Address - City:SANDERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31082-1736
Mailing Address - Country:US
Mailing Address - Phone:478-552-2521
Mailing Address - Fax:478-552-3636
Practice Address - Street 1:102 N HARRIS ST
Practice Address - Street 2:
Practice Address - City:SANDERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31082-1736
Practice Address - Country:US
Practice Address - Phone:478-552-2521
Practice Address - Fax:478-552-3636
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH027485183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist