Individual
SARAH ANNALISE ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3224 MERCER UNIVERSITY DR APT 301, CHAMBLEE, GA 30341-5666
(678) 551-4508
Mailing address
3224 MERCER UNIVERSITY DR APT 301, CHAMBLEE, GA 30341-5666
(678) 551-4508
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9858
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/12/2019
Last updated
02/11/2021
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