Individual
JARED SCOTT CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2301 NEWNAN CROSSING BLVD E, NEWNAN, GA 30265-2575
(678) 663-6600
Mailing address
2301 NEWNAN CROSSING BLVD E STE 100, NEWNAN, GA 30265-2576
(678) 633-6605
(678) 633-6615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018457
GA
225200000X
Physical Therapy Assistant
Primary
PTA004865
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16834706
CAQH
—
Enumeration date
06/12/2026
Last updated
08/13/2026
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