Individual
DR. SARAH ROSE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
821 N COBB ST, MILLEDGEVILLE, GA 31061-2343
(478) 454-3795
(478) 454-3969
Mailing address
1523 GREENSBORO WAY, GRAYSON, GA 30017-2907
(770) 316-2883
(770) 972-7332
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
039858
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00653001U
—
GA
Enumeration date
07/19/2006
Last updated
07/08/2007
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