Individual
KANITHA K SAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
5834 N VICKERY ST, CUMMING, GA 30040
(678) 400-5043
(404) 328-7528
Mailing address
505 LAKELAND PLZ STE 438, CUMMING, GA 30040-2807
(678) 400-5043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN195012
GA
Other
Enumeration date
08/23/2016
Last updated
09/18/2024
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