Provider Demographics
NPI:1588626634
Name:FAHEY, SARAH D (NP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:D
Last Name:FAHEY
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:2011 EISENHOWER DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3905
Mailing Address - Country:US
Mailing Address - Phone:912-644-5223
Mailing Address - Fax:912-644-5230
Practice Address - Street 1:1602 DRAYTON ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-7526
Practice Address - Country:US
Practice Address - Phone:912-651-2025
Practice Address - Fax:912-651-2588
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN048603363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA50BBCCGMedicare ID - Type UnspecifiedNP