Healthcare Provider Details

I. General information

NPI: 1417540642
Provider Name (Legal Business Name): SARAH WETHERELL JONES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2021
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA SC
29203-6831
US

IV. Provider business mailing address

1 RICHLAND MEDICAL PARK DR STE 300
COLUMBIA SC
29203-6831
US

V. Phone/Fax

Practice location:
  • Phone: 803-434-7910
  • Fax: 803-933-3022
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3996
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: