Mack, Sarah Rose

Mack, Sarah Rose is an individual health care provider with primary practice located at 821 N Cobb St , Milledgeville GA 31061-2343. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mack, Sarah Rose can be contacted via phone (478) 454-3795.

Contact Information

Primary practice address
821 N Cobb St Milledgeville GA 31061-2343
Phone: (478) 454-3795
Fax: (478) 454-3969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 039858 Georgia

Profile Details

NPI number 1487673232
LBN Legal business name Mack, Sarah Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 18 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 1487673232 NPPES
Georgia MEDICAID 00653001U

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