Individual
SARA BETH KASHUK MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 OLDE TOWNE PKWY STE 350, MARIETTA, GA 30068-4396
(770) 977-1510
(770) 509-8858
Mailing address
5780 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
080832
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283578
NYS MEDICAL LICENSE
NY
05
—
300034164A
—
GA
01
—
GRP3569
MEDICARE OPTOUT
GA
Enumeration date
04/03/2012
Last updated
05/20/2022
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