Individual
MS. SARA LONDONO BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
705 JUNIPER ST NE, ATLANTA, GA 30308-1307
(404) 873-2871
Mailing address
540 OLD PEACHTREE RD NE, LAWRENCEVILLE, GA 30043-2340
(404) 563-2305
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
320679
GA
163WC1500X
Community Health Registered Nurse
320679
GA
163WC1600X
Continuing Education/Staff Development Registered Nurse
320679
GA
163WG0000X
General Practice Registered Nurse
320679
GA
163WM0705X
Medical-Surgical Registered Nurse
320679
GA
163WR0400X
Rehabilitation Registered Nurse
320679
GA
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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