Healthcare Provider Details

I. General information

NPI: 1093556565
Provider Name (Legal Business Name): SARAI M GEORGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 TOWNE PARK DR
RINCON GA
31326
US

IV. Provider business mailing address

806 TOWNE PARK DR
RINCON GA
31326-9368
US

V. Phone/Fax

Practice location:
  • Phone: 912-208-7553
  • Fax:
Mailing address:
  • Phone: 912-208-7553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number106S00000X
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: