Healthcare Provider Details

I. General information

NPI: 1932680063
Provider Name (Legal Business Name): SARAH KALIHER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2018
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 PROFESSIONAL DR STE 330
LAWRENCEVILLE GA
30046-7698
US

IV. Provider business mailing address

601 PROFESSIONAL DR
LAWRENCEVILLE GA
30046-7698
US

V. Phone/Fax

Practice location:
  • Phone: 678-380-1980
  • Fax:
Mailing address:
  • Phone: 783-801-9806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number9126
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: