Provider Demographics
NPI:1245556992
Name:BORKOSKY, SARA (DPM)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BORKOSKY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WINCHESTER CT
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-2626
Mailing Address - Country:US
Mailing Address - Phone:864-231-6395
Mailing Address - Fax:864-231-6520
Practice Address - Street 1:5 WINCHESTER CT
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-2626
Practice Address - Country:US
Practice Address - Phone:864-231-6395
Practice Address - Fax:864-231-6520
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC631213ES0131X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSC2096D463Medicare PIN
SCP01321833Medicare PIN