Provider Demographics
NPI:1881057792
Name:WALING, SARAH ELIZABETH (DO)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:WALING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:NESLUND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1712 E BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31705-2611
Mailing Address - Country:US
Mailing Address - Phone:857-205-8794
Mailing Address - Fax:
Practice Address - Street 1:700 AIRPORT RD SW STE D
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-4360
Practice Address - Country:US
Practice Address - Phone:256-429-4526
Practice Address - Fax:256-429-4507
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR4191208000000X
GA83448208000000X
ALDO.3467208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics