Provider Demographics
NPI:1497079933
Name:STORY, SARA K (MD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:K
Last Name:STORY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:257 BANCORP SOUTH PKWY
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-7582
Mailing Address - Country:US
Mailing Address - Phone:731-512-1264
Mailing Address - Fax:731-660-8739
Practice Address - Street 1:620 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-3923
Practice Address - Country:US
Practice Address - Phone:731-541-4923
Practice Address - Fax:731-660-8739
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2025-09-03
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Provider Licenses
StateLicense IDTaxonomies
TN53449207Q00000X, 207P00000X, 208100000X, 2085R0202X, 207R00000X, 208000000X, 208600000X
ARE-13939207R00000X
MS27724207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208600000XAllopathic & Osteopathic PhysiciansSurgery