Individual
SARAH AILEEN JENNINGS-KUMAGAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-1000
Mailing address
2918 W COACHMAN AVE, TAMPA, FL 33611-2810
(813) 428-1118
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
86056
GA
207L00000X
Anesthesiology Physician
91832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276182300
—
FL
01
—
31014
BCBS
FL
01
—
31014Y
GTBA MEDICARE REASSIGN
FL
Enumeration date
08/10/2006
Last updated
03/06/2023
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