Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared B Walker, CST/CSFA

Individual provider Surgical Assistant · NPI 1730492760

Jared B Walker, CST/CSFA is a Surgical Assistant in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
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Practice location Address checks out

4205 Wilshire Dr
Valdosta, GA 31605-7023
Phone: (229) 630-6027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 121136 (GA)

Record details

NPI number1730492760
Entity typeIndividual (Type 1)
GenderMale
Credentials CST/CSFA
Sole proprietorNo
NPI enumeratedJuly 19, 2010
Last updated in NPPESNovember 19, 2011
Mailing address4205 Wilshire Dr, Valdosta, GA 31605-7023

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