Healthcare Provider Details

I. General information

NPI: 1740176221
Provider Name (Legal Business Name): SARA ANN SAK RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 LINKSIDE LAKE DR
RICHMOND HILL GA
31324-1195
US

IV. Provider business mailing address

249 LINKSIDE LAKE DR
RICHMOND HILL GA
31324-1195
US

V. Phone/Fax

Practice location:
  • Phone: 912-414-4946
  • Fax:
Mailing address:
  • Phone: 912-414-4946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License NumberYM017438
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License NumberRCP4461
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License NumberLRTR2969
License Number StateWV
# 4
Primary TaxonomyN
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License NumberRT19583
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number13698
License Number StateNC
# 6
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number7357
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: