Provider Demographics
NPI:1003562828
Name:HUNTER, SABRINA
Entity Type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 N BELTLINE BLVD STE 116
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2769
Mailing Address - Country:US
Mailing Address - Phone:803-237-3886
Mailing Address - Fax:
Practice Address - Street 1:3120 N BELTLINE BLVD STE 116
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2769
Practice Address - Country:US
Practice Address - Phone:803-237-3886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC2373886OtherPERSONAL