SAS MEDICAL LLC NPI 1063025690

NPI Information

  • NPI: 1063025690
  • Provider Name: SAS MEDICAL LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 11D2206476
  • Address: 8601 DUNWOODY PL STE 565
    SANDY SPRINGS, GA
    ZIP 30350
  • Phone: (404) 545-6969

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NPI Details

SAS MEDICAL LLC is a pediatrics in Sandy Springs, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SAS MEDICAL LLC NPI is 1063025690. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8601 DUNWOODY PL STE 565
SANDY SPRINGS, GA
ZIP 30350-519
Phone: (404) 545-6969

The provider's authorized official is Shayna A Smith .
The authorized official title is Organizer and has the following contact phone number (404) 545-6969.

The CLIA number assigned to this NPI record is 11D2206476 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2020 and was last updated on 8/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

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This page was last updated on: 11/21/2025

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