Individual
SARA ADMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
603 COUNTRY GARDENS DR, FOUNTAIN INN, SC 29644-3406
(864) 901-6357
Mailing address
603 COUNTRY GARDENS DR, FOUNTAIN INN, SC 29644-3406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20645
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20645
APRN
SC
Enumeration date
12/13/2016
Last updated
12/13/2016
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