Individual
DR. JARED STAATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
905 STEVENS CREEK RD, AUGUSTA, GA 30907-3201
(706) 922-6000
Mailing address
905 STEVENS CREEK RD, AUGUSTA, GA 30907-3201
(706) 922-6000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003977
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201367680
—
IN
Enumeration date
06/22/2016
Last updated
03/20/2020
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