Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. PHYLLIS WRENN SACKARIASEN, PA-C
Active Sole ProprietorMRS. PHYLLIS WRENN SACKARIASEN, PA-C is a Physician Assistant healthcare provider located in SUGAR VALLEY, Georgia. NPI 1205824760 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SUGAR VALLEY, GA
Registration Details
- NPI Number
- 1205824760
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2005 (20.824318732835 yrs)
- Last Updated
- Mar 7, 2023
- License
-
002147 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3090 SUGAR VALLEY RD NWSUGAR VALLEY, GA, 307465166Browse GA providers · Browse ZIP 30746
- Phone
- 7066244661
- Fax
- 7066244698
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.