Individual
SARAH SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1604 12TH ST, COLUMBUS, GA 31906-2938
(706) 324-0471
Mailing address
1604 12TH ST, COLUMBUS, GA 31906-2938
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12382
GA
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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