Individual
SARAH DOCTOR-GREENWADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 WILDEWOOD PARK DR STE 105, COLUMBIA, SC 29223-4312
(803) 451-0449
(803) 753-9568
Mailing address
PO BOX 23328, COLUMBIA, SC 29224-3328
(803) 722-4988
(803) 656-8135
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
823005560
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8160
—
SC
Enumeration date
04/02/2018
Last updated
01/16/2023
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