Healthcare Provider Details

I. General information

NPI: 1740798461
Provider Name (Legal Business Name): SARAH KATLYN LAW APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH KATLYN LAW APRN

II. Dates (important events)

Enumeration Date: 01/16/2018
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 BROAD ST
HAWKINSVILLE GA
31036-4818
US

IV. Provider business mailing address

259 BROAD ST
HAWKINSVILLE GA
31036-4818
US

V. Phone/Fax

Practice location:
  • Phone: 478-300-7107
  • Fax:
Mailing address:
  • Phone: 478-300-7107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP272900
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: