Individual
SARA LYNN WEDDERBURN-MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4914 OCTOBER WAY NW, ACWORTH, GA 30102-7909
(908) 884-5442
Mailing address
4914 OCTOBER WAY NW, ACWORTH, GA 30102-7909
(908) 884-5442
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
3747A0650X
GA
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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