Provider Demographics
NPI:1295471829
Name:EDWARDS, SARA (CPM)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 KENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-4559
Mailing Address - Country:US
Mailing Address - Phone:843-415-2260
Mailing Address - Fax:
Practice Address - Street 1:42 KENWOOD DR
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-4559
Practice Address - Country:US
Practice Address - Phone:843-415-2260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife