| Sarah Addison, Llc | |
|
5415 Thompson Mill Rd Hoschton GA 30548-4132 | |
| (678) 231-5557 | |
| (706) 850-0899 |
| Full Name | Sarah Addison, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5415 Thompson Mill Rd, Hoschton, Georgia |
| Authorized Official Name and Position | Sarah Addison (OWNER) |
| Authorized Official Contact | 6782315557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Addison, Llc 138 Jason Pond Way Jefferson GA 30549-7247 Ph: (678) 231-5557 | Sarah Addison, Llc 5415 Thompson Mill Rd Hoschton GA 30548-4132 Ph: (678) 231-5557 |
| NPI Number | 1730327495 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 02/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730327495 | NPI | - | NPPES |
| 619348603A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC004890 (Georgia) | Primary |
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