Healthcare Provider Details

I. General information

NPI: 1023962735
Provider Name (Legal Business Name): SARAH KATHERINE BALSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2026
Last Update Date: 02/21/2026
Certification Date: 02/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 15TH ST GC 5114
AUGUSTA GA
30912-0004
US

IV. Provider business mailing address

1200 HARPER PL
KNOXVILLE TN
37922-5560
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-2421
  • Fax:
Mailing address:
  • Phone: 865-399-8639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: