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NPI Code Detail

MEDICARE: SARAH M BART CRNA

MEDICARE: SARAH M BART CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2367500000XCertified Registered Nurse Anesthetist25040SC

General Provider Information

NPI Number : 1912573817
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH M BART CRNA
Provider Business Mailing Address
First Line : 9263 MEDICAL PLAZA DR STE E
Second Line :
City : CHARLESTON
State : SC
Zip : 29406-7112
Country : US
Telephone Number : 843-572-1228
Fax Number :
Provider Business Practice Location Address
First Line : 9263 MEDICAL PLAZA DR STE E
Second Line :
City : CHARLESTON
State : SC
Zip : 29406-7112
Country : US
Telephone Number : 843-572-1228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2021
Last Update Date : 04/07/2026

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Directions to “ SARAH M BART CRNA” Practice Location

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