Basic Information
| Provider Information | |||||||||
| NPI: | 1265453302 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SARAH BARKSDALE, MD, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 377 8TH ST | ||||||||
| Address2: | |||||||||
| City: | ATLANTIC BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322335435 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9049620342 | ||||||||
| FaxNumber: | 9042476851 | ||||||||
| Practice Location | |||||||||
| Address1: | 5008 MUSTANG RD | ||||||||
| Address2: | |||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322166028 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9042962333 | ||||||||
| FaxNumber: | 9042968467 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/22/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | BARKSDALE | ||||||||
| AuthorizedOfficialFirstName: | SARAH | ||||||||
| AuthorizedOfficialMiddleName: | KAY | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9049620342 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0101X | ME 88373 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology |
No ID Information.