Provider Demographics
NPI:1740798461
Name:LAW, SARAH KATLYN (RN)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:KATLYN
Last Name:LAW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:KATLYN
Other - Last Name:LAW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:940 GA HIGHWAY 96 STE A
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-2587
Mailing Address - Country:US
Mailing Address - Phone:478-988-1222
Mailing Address - Fax:
Practice Address - Street 1:940 GA HIGHWAY 96 STE A
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-2587
Practice Address - Country:US
Practice Address - Phone:478-988-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-16
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN272900163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN272900OtherREGISTERED NURSING LICENSE