Individual
SARA ALLISON O'HERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 GEORGIAN PARK, PEACHTREE CITY, GA 30269-6972
(770) 631-4873
(770) 631-0684
Mailing address
1201 GEORGIAN PARK, PEACHTREE CITY, GA 30269-6972
(770) 631-4873
(770) 631-0684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041632
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000730419Z
—
GA
Enumeration date
07/28/2006
Last updated
02/02/2012
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