Provider Demographics
NPI:1942925763
Name:COOL, SARAH SCOTT
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:SCOTT
Last Name:COOL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 244
Mailing Address - Street 2:
Mailing Address - City:WALESKA
Mailing Address - State:GA
Mailing Address - Zip Code:30183-0244
Mailing Address - Country:US
Mailing Address - Phone:404-449-7893
Mailing Address - Fax:
Practice Address - Street 1:200 AVERY CV
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30115-1817
Practice Address - Country:US
Practice Address - Phone:404-449-7893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator