Healthcare Provider Details
I. General information
NPI: 1427571447
Provider Name (Legal Business Name): SARAH BABIONE NATALE
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/21/2017
Last Update Date: 07/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3600 DALLAS HWY SW
MARIETTA GA
30064-1675
US
IV. Provider business mailing address
2620 ELM HILL PIKE
NASHVILLE TN
37214-3108
US
V. Phone/Fax
- Phone: 770-420-9170
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN216827 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | RN216827 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: