Healthcare Provider Details

I. General information

NPI: 1073822110
Provider Name (Legal Business Name): SARAH HARRISON NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ELIZABETH HAMILTON NP

II. Dates (important events)

Enumeration Date: 10/06/2010
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 KING AVENUE STE 120
ATHENS GA
30606-2797
US

IV. Provider business mailing address

242 KING AVENUE SUITE 120
ATHENS GA
30606-2797
US

V. Phone/Fax

Practice location:
  • Phone: 706-475-5700
  • Fax: 706-475-5718
Mailing address:
  • Phone: 706-475-5700
  • Fax: 706-475-5718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN170094NP
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: