Organization
JARED KIDDOE MD PROFESSIONAL CORPORATION
Active
Other names
Authentic Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
JARED KIDDOE MD (PSYCHIATRIST)
(919) 666-8546
Entity
Organization
Contact information
Practice address
1070 SWAN MILL CT, SUWANEE, GA 30024-2819
(919) 666-8546
Mailing address
1070 SWAN MILL CT, SUWANEE, GA 30024-2819
(919) 666-8546
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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