Provider Demographics
NPI:1174009237
Name:HEMBREE, SARAH A (MPH, RD, LD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:A
Last Name:HEMBREE
Suffix:
Gender:F
Credentials:MPH, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 BUFORD PL
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-2425
Mailing Address - Country:US
Mailing Address - Phone:229-343-5790
Mailing Address - Fax:
Practice Address - Street 1:1083 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-6722
Practice Address - Country:US
Practice Address - Phone:229-343-5790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-12
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD005053133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered