Provider Demographics
NPI:1760700579
Name:YESKEL, SARAH EVE (PA-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:EVE
Last Name:YESKEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 STARLING ST
Mailing Address - Street 2:STE 506
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4270
Mailing Address - Country:US
Mailing Address - Phone:912-466-4200
Mailing Address - Fax:
Practice Address - Street 1:2500 STARLING ST STE 506
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4270
Practice Address - Country:US
Practice Address - Phone:912-267-0058
Practice Address - Fax:912-267-0061
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6631363A00000X, 363A00000X
HIAMD-374363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA006631OtherGEORGIA COMPOSITE MEDICAL BOARD