MEDICARE: SARAH ADAMS-LONG NP

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
1	363L00000X	Nurse Practitioner	RN203863	GA
2	363LF0000X	Family Nurse Practitioner	RN203863	GA

General Provider Information

NPI Number	:	1134573686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ADAMS-LONG NP

Provider Business Mailing Address
First Line	:	2100 RIVEREDGE PKWY STE 400
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-4663
Country	:	US
Telephone Number	:	404-640-1537
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 RIVEREDGE PKWY
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-4693
Country	:	US
Telephone Number	:	404-640-1537
Fax Number	:	844-637-5693

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2016
Last Update Date	:	02/10/2023

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