Provider Demographics
NPI:1598856833
Name:SARAH V MCBEE MD PC
Entity Type:Organization
Organization Name:SARAH V MCBEE MD PC
Other - Org Name:SARAH V MCBEE MD PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-267-6565
Mailing Address - Street 1:517 GREAT OAKS DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-8211
Mailing Address - Country:US
Mailing Address - Phone:770-267-6565
Mailing Address - Fax:770-267-1524
Practice Address - Street 1:517 GREAT OAKS DR
Practice Address - Street 2:SUITE 102
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-8211
Practice Address - Country:US
Practice Address - Phone:770-267-6565
Practice Address - Fax:770-267-1524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA026889261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000361237EMedicaid
GA000361237EMedicaid