Individual
DR. SARA JEANNETTE CREEKMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
328-A CUMMINGS ST., ABINGDON, VA 24210
(276) 628-3118
(276) 628-8342
Mailing address
328-A CUMMINGS ST., ABINGDON, VA 24210
(276) 628-3118
(276) 628-8342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
UO2252
FL
207W00000X
Ophthalmology Physician
Primary
0102204017
VA
207W00000X
Ophthalmology Physician
SL0803
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902131170
—
VA
Enumeration date
10/06/2009
Last updated
02/04/2015
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