# SIERRA MEDICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588825277
- **Authorized official:** DR. DAVID A DE LASIERRA M.D. (OWNER)
- **Authorized official phone:** (305) 610-8620

## Contact information

- **Practice address:** 528 SOUTH 8TH STREET, GRIFFIN, GA 30224
- **Practice address phone:** (770) 467-1224
- **Practice address fax:** (770) 467-1225
- **Mailing address:** P.O. BOX 28170, MACON, GA 31221-8170
- **Mailing address phone:** (478) 254-5943
- **Mailing address fax:** (478) 254-6093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 056820 | GA | Yes |

## Other

- **Enumeration date:** 06/24/2008
- **Last updated:** 11/10/2010