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Individual

MS. SARA AGOSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-AC

Contact information

Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-8787
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.022058
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
RN322679
GA

Other

Enumeration date
10/31/2017
Last updated
09/22/2023
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