Individual
SARAH APPLEGARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006834
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003171870P
—
GA
05
—
003171870Q
—
GA
05
—
003171870R
—
GA
05
—
003171870S
—
GA
05
—
003171870T
—
GA
05
—
003171870U
—
GA
05
—
003171870V
—
GA
01
—
05384574
AMERIGROUP
GA
01
—
1532523
WELLCARE
GA
Enumeration date
11/18/2015
Last updated
05/13/2021
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