Basic Information
| Provider Information | |||||||||
| NPI: | 1639803604 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CUBAS | ||||||||
| FirstName: | SARAH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5667 PEACHTREE DUNWOODY RD STE 260 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303421714 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4042551030 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5667 PEACHTREE DUNWOODY RD STE 260 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303421714 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4042551030 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2022 | ||||||||
| LastUpdateDate: | 08/16/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN264609 | GA | N | Nursing Service Providers | Registered Nurse | 363LF0000X | RN264609 | GA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.