Healthcare Provider Details

I. General information

NPI: 1093433112
Provider Name (Legal Business Name): SARAH KATHERINE SEXTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2022
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MCDANIEL AVE
PICKENS SC
29671-2527
US

IV. Provider business mailing address

632 BROCK ST
CENTRAL SC
29630-9289
US

V. Phone/Fax

Practice location:
  • Phone: 864-898-5965
  • Fax:
Mailing address:
  • Phone: 864-633-8113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number248440
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: