Provider Demographics
NPI:1003046129
Name:SWANN, SARA E (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:E
Last Name:SWANN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1450 B BARNETT SHOALS ROAD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-2748
Mailing Address - Country:US
Mailing Address - Phone:706-543-6443
Mailing Address - Fax:706-543-8202
Practice Address - Street 1:25 NOMORA DR
Practice Address - Street 2:
Practice Address - City:DANIELSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30633-7058
Practice Address - Country:US
Practice Address - Phone:706-795-9588
Practice Address - Fax:706-795-0969
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN181114363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily