Healthcare Provider Details

I. General information

NPI: 1023323250
Provider Name (Legal Business Name): SARAH B VALDES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2010
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 DIXIE ST STE 210
CARROLLTON GA
30117-3889
US

IV. Provider business mailing address

706 DIXIE ST STE 210
CARROLLTON GA
30117-3889
US

V. Phone/Fax

Practice location:
  • Phone: 770-812-8640
  • Fax: 770-838-8650
Mailing address:
  • Phone: 770-812-8640
  • Fax: 770-838-8650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberGAA-NP001197
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: