Provider Demographics
NPI:1831744093
Name:COMBS-ROBERT, SARA
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:COMBS-ROBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:ROBERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:412 HAW RIDGE DOCK RD
Mailing Address - Street 2:
Mailing Address - City:PINEY FLATS
Mailing Address - State:TN
Mailing Address - Zip Code:37686-3407
Mailing Address - Country:US
Mailing Address - Phone:352-644-1216
Mailing Address - Fax:
Practice Address - Street 1:4229 FORT HENRY DR
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37663-2227
Practice Address - Country:US
Practice Address - Phone:423-239-7044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist