Most Relevant Information
Provider Data
NPI Number: | 1003033135 |
Provider Name: | JARED KENT CARDWELL MD |
Entity Type: | Individual |
Taxonomy Code: | 208M00000X |
Specialty: | Hospitalist |
License Number: | 075755 |
Most Important Dates
Enumeration Date: | 04/19/2007 |
Last Updated: | 07/28/2023 |
Provider Practice Location
3131 S MAIN ST
MOULTRIE
GA
317686925
Practice Location Phone/Fax
Phone: | 2295029782 |
Fax: | 2298919567 |
Provider Mailing Location
PO BOX 2876
MOULTRIE
GA
317762876
Provider Mailing Phone/Fax
Phone: | 2295029782 |
Fax: | 2298919567 |