Individual
SARAH ELIZABETH BALKCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1800 NORTHSIDE FORSYTH DR STE 450, CUMMING, GA 30041-8483
(770) 442-1911
Mailing address
4170 HWY 197 NORTH, LAKE BURTON, CLARKSVILLE, GA 30523
(678) 920-2686
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9122
GA
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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