Provider Demographics
NPI:1669034609
Name:WHARTON, SARAH KALANI (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:KALANI
Last Name:WHARTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 E BAY ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-5641
Mailing Address - Country:US
Mailing Address - Phone:843-277-4485
Mailing Address - Fax:
Practice Address - Street 1:635 E BAY ST STE 1A
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-5641
Practice Address - Country:US
Practice Address - Phone:843-277-4885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-29
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4457111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor