Provider Demographics
NPI:1083237192
Name:POINTER, SARAH ARVIE
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ARVIE
Last Name:POINTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ARVIE
Other - Last Name:POINTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CAPITAL CITY MEDICAL
Mailing Address - Street 1:PO BOX 73403
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70874-3403
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:509 E BUFFWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-3403
Practice Address - Country:US
Practice Address - Phone:504-201-3044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)