Doctor Name: | SARA MILLWEE |
NPI Number: | 1649393778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN149041 |
Business Practice Address: | 4915 Trilogy Park Trail Hoschton, GA - 30548 |
Business Phone Number: | 6783716554 |
Business Fax Number: | |
Mailing Address: | 4915 Trilogy Park Trail, HOSCHTON |
State: | GA |
Postal Code: | 30548 |
Phone Number: | 6783716554 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 05/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN149041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |