Sarah O Licht (NPI# 1821448564, PAC ID# 0840583266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED AUDIOLOGIST.
| Nation Provider ID (NPI) | 1821448564 |
| PAC ID by PECOS | 0840583266 |
| Professional Enrollment ID | I20160722001266 |
| Full Name | Sarah O Licht |
| Organization Legal Name | JOHNS CREEK AUDIOLOGY |
| Address |
203 Woodpark Place Suite B 100 Woodstock GA 30024 |
| Phone Number | 7705604775 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | QUALIFIED AUDIOLOGIST |
| Group Practice PAC ID | 2062654437 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4045 Johns Creek Pkwy B, Suwanee, GA 30024-1218 | 7708141260 | JOHNS CREEK AUDIOLOGY |
| 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 | 7705604775 | JOHNS CREEK AUDIOLOGY |
| Organization Legal Name | JOHNS CREEK AUDIOLOGY |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Christine Allen | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Jan H Henriques | Audiologist | Johns Creek Audiology | 4045 Johns Creek Pkwy B, Suwanee, GA 30024-1218 |
| Christin Brooke Means | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Deborah T Woodward | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Christa Barefoot Nelms | Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Street Address |
203 WOODPARK PLACE SUITE B 100 |
| City | WOODSTOCK |
| State | GA |
| Zip | 30024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Christine Allen | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Christin Brooke Means | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Deborah T Woodward | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Christa Barefoot Nelms | Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Yozen Shih | Family Medicine | 960 Ptree Industrial Blvd, Suwanee, GA 30024 | |
| Benjamin Laremont | Family Practice | Maternal and Family Medicine Ctr | 1630 Peachstreet Industrial Blvd A, Suwanee, GA 30024 |
| Sae J Kim | Physical Therapy | 1325 Satellite Nwblvd, Suite 1302, Suwanee, GA 30024 | |
| Joshua Hasty | Chiropractic | 2615 Peachtree Pkwy, Suite 270, Suwanee, GA 30024-1050 | |
| Malcolm M Traxler Jr. | Internal Medicine | Evergreen Primary Care and Wellness PC | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Emily Williams | Physical Therapy | The Weston Group Inc | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Mamta Das | Occupational Therapy | The Weston Group Inc | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Lisa C. Elliott | Physical Therapy | The Weston Group Inc | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Diana Stillwagon | Speech Language Pathologist | The Weston Group Inc | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Bernadette B Alcala | Occupational Therapy | The Weston Group Inc | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Find all physicians in zip 30024 | |||
| City | WOODSTOCK |
| Zip Code | 30024 |
| Specialty | QUALIFIED AUDIOLOGIST |
| City + Specialty | WOODSTOCK + QUALIFIED AUDIOLOGIST |
Please comment or provide details below to improve the information on Sarah O Licht.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.