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NPI Code Detail

MEDICARE: MRS. SARAH A NASH PA-C

MEDICARE: MRS. SARAH A NASH PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant006790GA

General Provider Information

NPI Number : 1730520420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH A NASH PA-C
Provider Business Mailing Address
First Line : 4589 LAWRENCEVILLE RD
Second Line :
City : LOGANVILLE
State : GA
Zip : 30052-7320
Country : US
Telephone Number : 770-466-8672
Fax Number :
Provider Business Practice Location Address
First Line : 4589 LAWRENCEVILLE RD
Second Line :
City : LOGANVILLE
State : GA
Zip : 30052-7320
Country : US
Telephone Number : 770-466-8672
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2013
Last Update Date : 07/10/2013

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Directions to “ MRS. SARAH A NASH PA-C” Practice Location

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