MEDICARE: MS. SARAH M GEORGE MSN, APRN,BC

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	363LP2300X	Primary Care Nurse Practitioner	201504879NP-PP	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538100847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH M GEORGE MSN, APRN,BC

Provider Business Mailing Address
First Line	:	495 SW RAMSEY AVE
Second Line	:
City	:	GRANTS PASS
State	:	OR
Zip	:	97527
Country	:	US
Telephone Number	:	541-472-5501
Fax Number	:	541-472-5671

Provider Business Practice Location Address
First Line	:	10 OAK FOREST RD
Second Line	:	SUITE C
City	:	BLUFFTON
State	:	SC
Zip	:	29910-4973
Country	:	US
Telephone Number	:	843-805-3006
Fax Number	:	843-815-3737

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	12/12/2017

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