Individual
SARAH B. BOLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
270 CHASTAIN RD NW, KENNESAW, GA 30144-3012
(770) 421-8005
(770) 424-5662
Mailing address
270 CHASTAIN RD NW, KENNESAW, GA 30144-3012
(770) 421-8005
(770) 424-5662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004335
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
842696858C
—
GA
05
—
842696858D
—
GA
05
—
842696858E
—
GA
05
—
842696858F
—
GA
05
—
842696858G
—
GA
Enumeration date
02/22/2006
Last updated
12/10/2012
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