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Individual

SARA GRANT OLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
14 RICHLAND MEDICAL PARK DR STE 200, COLUMBIA, SC 29203-6882
(803) 296-7846
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6997

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3589
SC
363A00000X
Physician Assistant
Primary
MPA.3589
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4395PA
SC
Enumeration date
10/18/2019
Last updated
02/18/2026
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