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Individual

SARAH A. HLAVACEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3404 WAKE FOREST RD STE 302, RALEIGH, NC 27609-7341
(919) 862-5400
(919) 954-3038
Mailing address
3404 WAKE FOREST RD STE 302, RALEIGH, NC 27609-7341
(919) 862-5400
(919) 954-3038

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-02040
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2762109
MEDICARE PTAN
NC
Enumeration date
10/13/2006
Last updated
03/26/2021
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