Jared Kent Cardwell
Family Doctor
3131 S Main St
Moultrie
, Georgia 31768-6925
Jared Kent Cardwell
Family Doctor
3131 S Main St
Moultrie
, Georgia 31768-6925
(229) 891-9567
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Jared Kent Cardwell
- Po Box 2138
- Moultrie, GA
- Zip : 31776-2138
- Fax : (229) 891-9567
- Phone : (229) 502-9782
Second Address
- Jared Kent Cardwell
- 3131 S Main St
- Moultrie, GA
- Zip : 31768-6925
- Fax : (229) 891-9567
- Phone : (229) 502-9782
Reviews
FAQs
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In what state does Jared Kent Cardwell practice in?
Where is Jared Kent Cardwell ’s practice located?
What is Jared Kent Cardwell ’s gender?
Is Jared Kent Cardwell a sole practitioner?
Is Jared Kent Cardwell accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 075755 | GA |
National Provider Identifier
| NPI | 1003033135 |
|---|---|
| Provider Name | Jared Kent Cardwell |
| First Address | Moultrie, GA 31776-2138 |
| Second Address | Moultrie, GA 31768-6925 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2007 |
| Last Update Date | 24/09/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 20208I1957 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.