Healthcare Provider Details

I. General information

NPI: 1700395738
Provider Name (Legal Business Name): SARAH ELIZABETH HAMBY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 02/02/2025
Certification Date: 02/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 ADLEY WAY
GREENVILLE SC
29607-6511
US

IV. Provider business mailing address

PO BOX 100174
COLUMBIA SC
29202-3174
US

V. Phone/Fax

Practice location:
  • Phone: 864-987-9747
  • Fax: 864-987-9770
Mailing address:
  • Phone: 864-225-5667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number21149
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number21149
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: