Provider Demographics
NPI:1790338762
Name:RILEY, SARAH E (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:E
Last Name:RILEY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:835 COGBURN AVENUE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1010
Mailing Address - Country:US
Mailing Address - Phone:770-422-8815
Mailing Address - Fax:770-422-8816
Practice Address - Street 1:835 COGBURN AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1008
Practice Address - Country:US
Practice Address - Phone:770-422-5557
Practice Address - Fax:770-422-5456
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2020-06-15
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Provider Licenses
StateLicense IDTaxonomies
GA9309363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant