Individual
SARAH NAYEBOSADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10730 MEDLOCK BRIDGE RD STE 110, JOHNS CREEK, GA 30097-2638
(678) 344-8900
Mailing address
1551 JANMAR RD, SNELLVILLE, GA 30078-5606
(678) 344-8900
(678) 666-5201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
8837
GA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/15/2018
Last updated
04/26/2024
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