Provider Demographics
NPI:1508185893
Name:STUBBS, SARAH LONGEST (MD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LONGEST
Last Name:STUBBS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:KENT
Other - Last Name:LONGEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:796 OLD FRANKLIN TPKE
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-5507
Mailing Address - Country:US
Mailing Address - Phone:540-483-5168
Mailing Address - Fax:540-483-5835
Practice Address - Street 1:796 OLD FRANKLIN TPKE
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-5507
Practice Address - Country:US
Practice Address - Phone:540-483-5168
Practice Address - Fax:540-483-5835
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101253958207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine