Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN255256 | GA |
NPI | 1023787454 |
---|---|
Provider Name | Sarah E Graff |
First Address | Atlanta, GA 30316-1238 |
Second Address | Atlanta, GA 30309-1281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2021 |
Last Update Date | 18/01/2022 |