Healthcare Provider Details

I. General information

NPI: 1952351579
Provider Name (Legal Business Name): ANDREW JAMES SARNAT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GROSS CRESCENT CIR
FT OGLETHORPE GA
30742-3643
US

IV. Provider business mailing address

PO BOX 2504
COLUMBUS GA
31902-2504
US

V. Phone/Fax

Practice location:
  • Phone: 706-858-2915
  • Fax:
Mailing address:
  • Phone: 770-614-6777
  • Fax: 770-614-6070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number037670
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: