MR. Jared Jerel Weaver, CAREGIVER
NPI #1407471741 in Statesboro, Georgia
Provider Information
- NPI Number
- 1407471741
- Entity Type
- Individual
- Name
- MR. Jared Jerel Weaver, CAREGIVER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Credential
- CAREGIVER
- Enumeration Date
- Jun 12, 2020
- Last Updated
- Dec 2, 2020
Practice Location
- Address
- 210 FOXLAKE DR
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-4400
- Phone
- (912) 536-6679
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
| Technician - Attendant Care Provider — Attendant Care Provider |
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