Provider Demographics
NPI:1225573629
Name:TINLEY, SARAH BETH (PA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BETH
Last Name:TINLEY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7938 AL HIGHWAY 69
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-7134
Mailing Address - Country:US
Mailing Address - Phone:256-571-8445
Mailing Address - Fax:256-571-8447
Practice Address - Street 1:7938 AL HIGHWAY 69
Practice Address - Street 2:SUITE 100
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-7134
Practice Address - Country:US
Practice Address - Phone:256-571-8445
Practice Address - Fax:256-571-8447
Is Sole Proprietor?:No
Enumeration Date:2016-12-21
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPA1217363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALPA1217OtherMEDICAL LICENSE