Healthcare Provider Details

I. General information

NPI: 1053054676
Provider Name (Legal Business Name): SAIRAH LILY FRANCIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 15TH ST
AUGUSTA GA
30912-0006
US

IV. Provider business mailing address

1120 15TH ST
AUGUSTA GA
30912-0006
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-2131
  • Fax: 706-721-6892
Mailing address:
  • Phone: 706-721-2131
  • Fax: 706-721-6892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number112947
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: