| Doctor Name: | SARAH ELIZABETH CONKLIN |
| NPI Number: | 1316988645 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | RN147542NP |
| Business Practice Address: | 90-a Martin Luther King Jr. Drive Forsyth, GA - 310290000 |
| Business Phone Number: | 4789940437 |
| Business Fax Number: | 4789946787 |
| Mailing Address: | 1065 Jodeco Rd., STOCKBRIDGE |
| State: | GA |
| Postal Code: | 302814953 |
| Phone Number: | 6782846323 |
| Fax Number: | 6782846282 |
| NPI Enumeration Date: | 06/09/2006 |
| NPI Last Update Date: | 10/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN147542NP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |