Individual
SARA A. STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
601 BENTON AVE, NASHVILLE, TN 37204
(615) 292-9770
Mailing address
601 BENTON AVE, NASHVILLE, TN 37204-2303
(152) 929-7706
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3380
TN
Other
Enumeration date
04/24/2015
Last updated
08/28/2018
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