Organization
SAGE HEALTH AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLA MARIA PERISSINOTTO MD (CHIEF MEDICAL OFFICER)
(678) 688-3313
Entity
Organization
Contact information
Practice address
3100 INTERSTATE NORTH CIR SE STE 200, ATLANTA, GA 30339-2384
(678) 888-3313
(678) 888-4229
Mailing address
3100 INTERSTATE NORTH CIR SE STE 200, ATLANTA, GA 30339-2384
(678) 888-3313
(678) 888-4229
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790963502
NPPES
—
Enumeration date
02/24/2023
Last updated
04/04/2024
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