Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN216883 | GA |
NPI | 1003279258 |
---|---|
Provider Name | Caroline Shealy Sauers |
First Address | Savannah, GA 31406-2778 |
Second Address | Savannah, GA 31406-2778 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2016 |
Last Update Date | 02/02/2017 |