Bolick, Sarah B.

Bolick, Sarah B. is an individual health care provider with primary practice located at 270 Chastain Rd Nw , Kennesaw GA 30144-3012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bolick, Sarah B. can be contacted via phone (770) 421-8005.

Contact Information

Primary practice address
270 Chastain Rd Nw Kennesaw GA 30144-3012
Phone: (770) 421-8005
Fax: (770) 424-5662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004335 Georgia

Profile Details

NPI number 1720053879
LBN Legal business name Bolick, Sarah B.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Dec 10th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720053879 NPPES
Georgia MEDICAID 842696858D
Georgia MEDICAID 842696858G
Georgia MEDICAID 842696858E
Georgia MEDICAID 842696858C
Georgia MEDICAID 842696858F

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