NPI | 1033532411 |
---|---|
Former Name | SARAH COVINGTON FEREBEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04769) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-04769) |
363AM0700X Physician Assistant, Medical (Licence: NC 0010-04769) | |
Enumeration Date | 2014-01-21 |
Last Update Date | 2023-03-16 |