Individual
SARAH FAULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 SHIRLEY ST, COLUMBIA, SC 29205-1370
(803) 252-1979
(803) 779-7212
Mailing address
1522 SHADY LN, COLUMBIA, SC 29206-4635
(803) 738-0789
(803) 779-7212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
38595
SC
163WC1500X
Community Health Registered Nurse
38595
SC
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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