NPI 1124504675 · live from the CMS NPI Registry
Sara Stephano Adams, PA-C
Physician Assistant, Surgical in Marietta, GA. National Provider Identifier 1124504675, active.
NPI record
| NPI | 1124504675 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 1371 Church Street Ext Ne Ste 200, Marietta, GA 30060 |
| Practice phone | 678-344-8900 |
| Mailing address | 1551 Janmar Rd, Snellville, GA 30078 |
| Enumerated | July 18, 2018 |
| Last updated | April 26, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 8877 (GA) |
| Physician Assistant, Surgical | 363AS0400X | — |
| Physician Assistant, Surgical primary | 363AS0400X | 8877 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.