Provider Demographics
NPI:1811401854
Name:MOBBS, SARAH RENEE (RN)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:RENEE
Last Name:MOBBS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:RENEE
Other - Last Name:AKEMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:76 SPYGLASS
Mailing Address - Street 2:
Mailing Address - City:KINGSLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31548
Mailing Address - Country:US
Mailing Address - Phone:912-322-5360
Mailing Address - Fax:
Practice Address - Street 1:2500 STARLING ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520
Practice Address - Country:US
Practice Address - Phone:912-466-5504
Practice Address - Fax:912-466-5593
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN224635163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse