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General NPI Number Information
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NPI Number | 1649439134
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Entity Type | Individual
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Provider Name | STEPHEN W JARRARD MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 596 W LOUISE ST STE A
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City | CLARKESVILLE
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State | GA
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Zip | 30523-5849
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Country | US
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Telephone | 706-839-1010
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Fax | 706-839-1015
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Provider Business Mailing Address
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Address Line | 596 W LOUISE ST STE A
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City | CLARKESVILLE
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State | GA
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Zip | 30523-5849
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Country | US
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Telephone | 706-839-1010
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Fax | 706-839-1015
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 62897
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 062897
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 62897
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License Number State | GA
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