Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 52552 | SC |
N | 207X00000X | Orthopaedic Surgeon | A147191 | CA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 52552 | SC |
NPI | 1952657827 |
---|---|
Provider Name | Dr. Sara Sue Vannortwick |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-1601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2012 |
Last Update Date | 14/05/2020 |