Individual
SARAH NEELY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
127 TELFAIR ST, AUGUSTA, GA 30901-2590
(706) 922-0600
Mailing address
127 TELFAIR ST, AUGUSTA, GA 30901-2590
(706) 922-0600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
66156
GA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
66156
GA
Other
Enumeration date
05/10/2007
Last updated
07/21/2023
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