Healthcare Provider Details

I. General information

NPI: 1275816555
Provider Name (Legal Business Name): SARAH WALKER ROOKER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH E. WALKER

II. Dates (important events)

Enumeration Date: 09/23/2011
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 N HIGHWAY 17 STE 105
MT PLEASANT SC
29466-8228
US

IV. Provider business mailing address

PO BOX 751649
CHARLOTTE NC
28275-1649
US

V. Phone/Fax

Practice location:
  • Phone: 843-789-1850
  • Fax: 843-724-2551
Mailing address:
  • Phone: 888-472-0043
  • Fax: 843-724-2440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1696
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number1696
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: