Individual
SARAH SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2160
Mailing address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12528
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/19/2022
Last updated
07/31/2026
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