Provider Demographics
NPI:1407852791
Name:BROWN, SARAH HOLLEMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:HOLLEMAN
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:
Mailing Address - City:SAINT STEPHEN
Mailing Address - State:SC
Mailing Address - Zip Code:29479-0280
Mailing Address - Country:US
Mailing Address - Phone:843-567-4000
Mailing Address - Fax:843-567-3000
Practice Address - Street 1:137 CEDAR DR
Practice Address - Street 2:
Practice Address - City:SAINT STEPHEN
Practice Address - State:SC
Practice Address - Zip Code:29479-3371
Practice Address - Country:US
Practice Address - Phone:843-567-4000
Practice Address - Fax:843-567-3000
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17261207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC172618Medicaid
SCF91786Medicare UPIN
SCF917868479Medicare PIN