Individual
MR. JARED DANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
101 ROBESON ST, SUITE 300, FAYETTEVILLE, NC 28301-5552
(910) 609-1282
(910) 609-1276
Mailing address
PO BOX 41209, FAYETTEVILLE, NC 28309-1209
(910) 609-1282
(910) 609-1276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDCOST
NC
05
—
PENDING
—
NC
Enumeration date
12/09/2008
Last updated
12/09/2008
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