Provider Demographics
NPI:1740176221
Name:SAK, SARA ANN (RRT)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:ANN
Last Name:SAK
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 LINKSIDE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-1195
Mailing Address - Country:US
Mailing Address - Phone:912-414-4946
Mailing Address - Fax:
Practice Address - Street 1:249 LINKSIDE LAKE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-1195
Practice Address - Country:US
Practice Address - Phone:912-414-4946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAYM0174382279C0205X
SCRCP44612279C0205X
WVLRTR29692279C0205X
FLRT195832279C0205X
NC136982279C0205X
GA73572279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care