Individual
MRS. SARAH JANE CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
407 W SOUTH ST, UNION, SC 29379-2771
(864) 429-8846
(864) 429-9093
Mailing address
PO BOX 2168, ATLANTA, GA 30301-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024118054
VA
363LF0000X
Family Nurse Practitioner
Primary
18953
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2821
—
SC
01
—
SC4253H895
MEDICARE PIN
SC
01
—
SC4253J577
MEDICARE PIN
SC
Enumeration date
03/17/2006
Last updated
12/18/2024
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