Provider Demographics
NPI:1659602100
Name:SARTORIS, JENNIFER M (DMSC, PA-C)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:M
Last Name:SARTORIS
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Gender:
Credentials:DMSC, PA-C
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Mailing Address - Street 1:1 FREEDOM WAY
Mailing Address - Street 2:MS-22, SURGERY SERVICE
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-6258
Mailing Address - Country:US
Mailing Address - Phone:706-733-0188
Mailing Address - Fax:706-823-1789
Practice Address - Street 1:1 FREEDOM WAY
Practice Address - Street 2:MS-22, SURGERY
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-6258
Practice Address - Country:US
Practice Address - Phone:706-733-0188
Practice Address - Fax:706-823-1789
Is Sole Proprietor?:No
Enumeration Date:2010-01-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA5892363A00000X, 363AS0400X
UT14164631-1206363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical