Provider Demographics
NPI:1639417249
Name:ATKINSON, SARAH O (RN)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:O
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 WISACKY HWY
Mailing Address - Street 2:
Mailing Address - City:BISHOPVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29010-8796
Mailing Address - Country:US
Mailing Address - Phone:803-428-4020
Mailing Address - Fax:
Practice Address - Street 1:1800 WISACKY HWY
Practice Address - Street 2:
Practice Address - City:BISHOPVILLE
Practice Address - State:SC
Practice Address - Zip Code:29010-8796
Practice Address - Country:US
Practice Address - Phone:803-428-4020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17397163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse