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NPI Code Detail

MEDICARE: SARA MEJIA MA

MEDICARE:   SARA  MEJIA  MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-22-61475GA

General Provider Information

NPI Number : 1013520170
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA MEJIA MA
Provider Business Mailing Address
First Line : 103 W GENERAL SCREVEN WAY
Second Line : STE G PMB 1098
City : HINESVILLE
State : GA
Zip : 31313-7462
Country : US
Telephone Number : 912-532-9774
Fax Number : 912-221-3085
Provider Business Practice Location Address
First Line : 481 ELMA G MILES PKWY STE B
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-4004
Country : US
Telephone Number : 912-532-9774
Fax Number : 912-221-3085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2020
Last Update Date : 11/17/2023

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Directions to “ SARA MEJIA MA” Practice Location

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