Jared David Peterson is a student in an organized health care education training program in Winston Salem, NC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jared David Peterson NPI is 1053904672. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC
ZIP 27157-001
Phone: (336) 716-3971
The NPI 1053904672 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/15/2021 and was last updated on 2/15/2021.