Individual
MS. SARA DIANNE PADTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1101
(404) 712-2000
Mailing address
1010 RHETT DR NW, KENNESAW, GA 30144-1835
(478) 251-9335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN245828
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-NP245828
GA
Other
Enumeration date
04/23/2020
Last updated
11/25/2025
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