Provider Demographics
NPI:1871275537
Name:SAGOO, JOSEPHINE STERLING
Entity type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:STERLING
Last Name:SAGOO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:684 SIXES RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30115-8721
Mailing Address - Country:US
Mailing Address - Phone:678-388-5485
Mailing Address - Fax:678-388-5489
Practice Address - Street 1:684 SIXES RD
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30115-8721
Practice Address - Country:US
Practice Address - Phone:678-388-5485
Practice Address - Fax:678-388-5489
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN274872363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics