Individual
SARA GUNNOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 443-3869
(434) 924-3300
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0110008092
VA
2080P0207X
Pediatric Hematology & Oncology Physician
0110008092
VA
363A00000X
Physician Assistant
Primary
0110008092
VA
363A00000X
Physician Assistant
2729
WV
363AM0700X
Medical Physician Assistant
PA60709751
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447634316
—
WA
Enumeration date
07/10/2015
Last updated
06/01/2023
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