Provider Demographics
NPI:1023559937
Name:GRIFFITHS, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:GRIFFITHS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 HONEYSUCKLE LN
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-6043
Mailing Address - Country:US
Mailing Address - Phone:678-938-7841
Mailing Address - Fax:
Practice Address - Street 1:1801 TULLY RD STE F
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-2931
Practice Address - Country:US
Practice Address - Phone:209-722-4842
Practice Address - Fax:877-435-6573
Is Sole Proprietor?:No
Enumeration Date:2017-03-10
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN228928363L00000X
CA95012987363L00000X
NC108291363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner