Individual
SARAH CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2565 MOUNTAIN RD, CUMMING, GA 30040-2910
(770) 713-5537
(845) 818-7555
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 818-7555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
012923
NY
363A00000X
Physician Assistant
Primary
6841
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012923
LICENSE
NY
01
—
6841
LICENSE
GA
Enumeration date
10/24/2008
Last updated
08/01/2023
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