Most Relevant Information
Provider Data
| NPI Number: | 1003324245 |
| Provider Name: | SARAH ELIZABETH WILSON PNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | APN.0993640-NP |
Most Important Dates
| Enumeration Date: | 01/22/2018 |
| Last Updated: | 03/07/2022 |
Provider Practice Location
9 RICHLAND MEDICAL PARK DR STE 420
COLUMBIA
SC
292036870
Practice Location Phone/Fax
| Phone: | 8034343950 |
| Fax: | 8034343496 |
Provider Mailing Location
300 E MCBEE AVE FL 4
GREENVILLE
SC
296012842
Provider Mailing Phone/Fax
| Phone: | 8645228603 |
| Fax: |