Wilson, Sara Pennington

Wilson, Sara Pennington is an individual health care provider with primary practice located at 2085 Henry Tecklenburg Dr Ste 310 , Charleston SC 29414-7713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Wilson, Sara Pennington can be contacted via phone (843) 266-5500.

Contact Information

Primary practice address
2085 Henry Tecklenburg Dr Ste 310 Charleston SC 29414-7713
Fax: (843) 606-8007
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 82303 South Carolina

Profile Details

NPI number 1558763466
LBN Legal business name Wilson, Sara Pennington
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2014
Last updated Aug 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558763466 NPPES
South Carolina MEDICAID 823032

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