Healthcare Provider Details

I. General information

NPI: 1649393778
Provider Name (Legal Business Name): SARA MILLWEE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 CLIFTON RD NE
ATLANTA GA
30322-1059
US

IV. Provider business mailing address

1743 COUNTRY WOOD DR
HOSCHTON GA
30548-1769
US

V. Phone/Fax

Practice location:
  • Phone: 678-371-6554
  • Fax:
Mailing address:
  • Phone: 678-371-6554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP149041
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN-NP149041
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: