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Jared Kiddoe MD Professional Corporation — NPI 1437097003, Suwanee, GA | NPI Central

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NPI 1437097003

OrganizationActive

Jared Kiddoe MD Professional Corporation

NPI 1437097003 · Child & Adolescent Psychiatry Physician · Suwanee, GA

Provider details

NPI number: 1437097003
Entity type: Organization
Primary specialty: Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Jared Kiddoe, Psychiatrist(919) 666-8546

Specialties & taxonomies

Child & Adolescent Psychiatry PhysicianPrimary2084P0804X
Allopathic & Osteopathic Physicians

Practice location

1070 Swan Mill Ct

Suwanee, GA 30024-2819

Phone: (919) 666-8546

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

1070 Swan Mill Ct

Suwanee, GA 30024-2819

Other names (DBA / former)

Doing business as: Authentic Wellness Group

Registry dates

Enumerated: 2026-03-24
Last updated: 2026-03-24
Certified: 2026-03-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.