Provider Demographics
NPI:1356465116
Name:DUNN, SARA KARON P (NP)
Entity Type:Individual
Prefix:MRS
First Name:SARA KARON
Middle Name:P
Last Name:DUNN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:3380 PADDOCK PKWY
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-9119
Mailing Address - Country:US
Mailing Address - Phone:678-474-9633
Mailing Address - Fax:678-474-9752
Practice Address - Street 1:3380 PADDOCK PKWY
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-9119
Practice Address - Country:US
Practice Address - Phone:678-474-9633
Practice Address - Fax:678-474-9752
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN39868363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003122837AMedicaid
GA003122837AMedicaid
GA20250I7075Medicare PIN