Individual
SARAH BETH BUSCARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 TEABERRY TRL, DALLAS, GA 30132-1153
(678) 612-4830
Mailing address
460 REBECCA LN SE, SMYRNA, GA 30082-3257
(678) 612-4830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
209804
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
209804
GA
Other
Enumeration date
11/20/2019
Last updated
02/14/2022
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