Individual
SARAH ELIZABETH WORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
705 DIXIE STREET, CARROLLTON, GA 30117-3818
(800) 962-3303
Mailing address
9211 CHASTAIN DR NE, ATLANTA, GA 30342-4188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006504
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006504
LICENSE
GA
Enumeration date
08/29/2012
Last updated
08/29/2012
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