Individual
SARAH ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1400 MAIN ST, CONWAY, SC 29526-3567
(843) 488-0101
Mailing address
1053 CENTER ST, WEST COLUMBIA, SC 29169-6749
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22554
SC
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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