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Phyllis Wrenn Sackariasen (PA-C)

Mrs. Phyllis Wrenn Sackariasen (PA-C) is a health care provider specializes in Physician Assistant.

profile-icon Basic Information

Practice Location 3090 Sugar Valley Rd Nw, Sugar Valley, GA 30746-5166, US
Practice Location Phone706-624-4661
Practice Location Fax706-624-4698
GenderFemale
Specialty InPhysician Assistant
NPI ?1205824760
Entity TypeIndividual
Enumeration Date ? Oct 10, 2005
Last Update Date ? Feb 4, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Phyllis Wrenn Sackariasen

SpecialtySpecializationLicenseLicense State
Physician Assistant 002147Georgia

legacy-id-icon Legacy Provider IDs of Phyllis Wrenn Sackariasen

Provider IdIssuer StateIssuer TypeIssuer
MS0716677GeorgiaOtherDEA
236050967AGeorgiaMedicaid