Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | 0101059274 | VA |
N | 207Q00000X | Family Doctor | 0101059274 | VA |
Y | 207Q00000X | Family Doctor | 26852 | TN |
NPI | 1093826851 |
---|---|
Provider Name | Dr. Sarah S Carrier |
First Address | Piney Flats, TN 37686-3352 |
Second Address | Abingdon, VA 24210-2921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 12/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G06211 | (02) | VA |