Individual
JARED CHARLES KUTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
405 ARROWHEAD BLVD, SUITE C, JONESBORO, GA 30236-1254
(770) 478-9877
(770) 478-2908
Mailing address
2195 MURRAY HILL RD, CLEVELAND, OH 44106-2610
(216) 225-5394
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1557
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
649695891B
—
GA
Enumeration date
05/30/2007
Last updated
08/09/2023
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