Provider Demographics
NPI:1427468057
Name:WILSON, SARAH SCHWARTZ (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:SCHWARTZ
Last Name:WILSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:SCHWARTZ
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD LLC
Mailing Address - Street 1:115 ENON SPRINGS RD E
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-3009
Mailing Address - Country:US
Mailing Address - Phone:615-459-9191
Mailing Address - Fax:
Practice Address - Street 1:115 ENON SPRINGS RD E
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3009
Practice Address - Country:US
Practice Address - Phone:615-459-9191
Practice Address - Fax:615-459-5222
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN56469207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine