Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | LL27044 | SC |
N | 111NI0900X | Internist | LL27044 | SC |
Y | 207RH0003X | Hematology & Oncology | 27044 | SC |
NPI | 1043397391 |
---|---|
Provider Name | Dr. Sara Elizabeth Adams |
First Address | Georgetown, SC 29442-4203 |
Second Address | Georgetown, SC 29440-7764 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 05/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
27044 | STATE LICENSE (01) | SC |