MEDICARE: DR. SARAH RENEE ADAMS M.D.

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	207Q00000X	Family Medicine Physician	35.097951	OH

General Provider Information

NPI Number	:	1346419371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH RENEE ADAMS M.D.

Provider Business Mailing Address
First Line	:	3667 MARLANE DR
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-8895
Country	:	US
Telephone Number	:	614-627-1830
Fax Number	:	614-539-8273

Provider Business Practice Location Address
First Line	:	3667 MARLANE DR
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-8895
Country	:	US
Telephone Number	:	614-277-9631
Fax Number	:	614-539-8273

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

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	03/09/2022

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