Jared Waters

NPI #1023701927 in Roanoke, Virginia

Provider Information

NPI Number: 1023701927
Entity Type: Individual
Name: Jared Waters
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: May 29, 2023
Last Updated: Aug 17, 2023

Practice Location

Address: 5673 AIRPORT RD
City: Roanoke
State: Virginia
ZIP Code: 24012-1119
Phone: (540) 523-8080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

Additional Practice Locations

5500 Staples Mill Rd

Henrico, VA, 23228-5423

(540) 523-8080

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