Healthcare Provider Details

I. General information

NPI: 1326972845
Provider Name (Legal Business Name): SARAH SWINEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 ELM ST
CUMMING GA
30040-2467
US

IV. Provider business mailing address

2645 GATEVIEW CT
CUMMING GA
30040-0542
US

V. Phone/Fax

Practice location:
  • Phone: 770-887-1668
  • Fax:
Mailing address:
  • Phone: 469-585-6135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: