Provider Demographics
NPI:1154322881
Name:DORSEY, SARA D (CPNP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:D
Last Name:DORSEY
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:333 SANDY SPRINGS CIR NE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3897
Mailing Address - Country:US
Mailing Address - Phone:404-705-8990
Mailing Address - Fax:404-705-9984
Practice Address - Street 1:1140 HAMMOND DR NE
Practice Address - Street 2:SUITE E5250
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5338
Practice Address - Country:US
Practice Address - Phone:404-256-2688
Practice Address - Fax:404-256-1820
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN152697363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care