MEDICARE: SARAH SVEDIN 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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1770079568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH SVEDIN PA-C

Provider Business Mailing Address
First Line	:	2655 DALLAS HWY SW STE 340
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-7518
Country	:	US
Telephone Number	:	678-797-9800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2655 DALLAS HWY SW STE 340
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-7518
Country	:	US
Telephone Number	:	678-797-9800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2018
Last Update Date	:	05/05/2021

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