Provider Demographics
NPI:1396360327
Name:SINK, ANNA MICHELLE (PA-C)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MICHELLE
Last Name:SINK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 TOWN BLVD NE UNIT 2502
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-3678
Mailing Address - Country:US
Mailing Address - Phone:770-617-6140
Mailing Address - Fax:
Practice Address - Street 1:3200 DOWNWOOD CIR NW STE 200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-1611
Practice Address - Country:US
Practice Address - Phone:770-442-1911
Practice Address - Fax:404-443-5322
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AM0700X
GA9801363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA9801OtherGA MEDICAL LICENSE