Individual
SARA BRITTANY WOODBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
100 PALMETTO HEALTH PKWY, SUITE 104, COLUMBIA, SC 29212-1753
(803) 907-7500
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 293-7303
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19991
SC
363LF0000X
Family Nurse Practitioner
19991
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3932
—
SC
Enumeration date
02/02/2016
Last updated
11/11/2020
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