MEDICARE: SARAH YACOBI MCCLUNG PA-C

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	363A00000X	Physician Assistant	0010-09436	NC

General Provider Information

NPI Number	:	1467002493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH YACOBI MCCLUNG PA-C

Provider Business Mailing Address
First Line	:	1321 NEW GARDEN RD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-2722
Country	:	US
Telephone Number	:	363-299-0099
Fax Number	:	336-299-0080

Provider Business Practice Location Address
First Line	:	1321 NEW GARDEN RD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-2722
Country	:	US
Telephone Number	:	336-299-0099
Fax Number	:

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

Provider Enumeration Date	:	09/11/2019
Last Update Date	:	07/24/2025

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