Provider Demographics
NPI:1255592127
Name:CHISOLM, SARAH SCOTT (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:SCOTT
Last Name:CHISOLM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1525 CLIFTON RD NE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-4200
Mailing Address - Country:US
Mailing Address - Phone:404-778-3333
Mailing Address - Fax:404-712-4920
Practice Address - Street 1:1525 CLIFTON RD NE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-4200
Practice Address - Country:US
Practice Address - Phone:404-778-3333
Practice Address - Fax:404-712-4920
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2016-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA73080207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology