Healthcare Provider Details

I. General information

NPI: 1851743389
Provider Name (Legal Business Name): SENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2016
Last Update Date: 03/04/2021
Certification Date: 03/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 SUMMIT TERRACE CT BLDG 1
COLUMBIA SC
29229-7055
US

IV. Provider business mailing address

1494 LAKE MURRAY BLVD STE B
COLUMBIA SC
29212-8697
US

V. Phone/Fax

Practice location:
  • Phone: 803-939-6141
  • Fax:
Mailing address:
  • Phone: 803-939-6141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number21520
License Number StateSC

VIII. Authorized Official

Name: MS. AMBER COMPTON
Title or Position: PRACTICE MANAGER
Credential:
Phone: 803-764-0464