Provider Demographics
NPI:1699041160
Name:WHITEHEAD, SARAH E (MD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:WHITEHEAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:REDDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 743294
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3294
Mailing Address - Country:US
Mailing Address - Phone:336-716-3346
Mailing Address - Fax:
Practice Address - Street 1:PARIS VIEW FAMILY MEDICINE
Practice Address - Street 2:1028 NORTH CHURCH STREET
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-1639
Practice Address - Country:US
Practice Address - Phone:864-271-1464
Practice Address - Fax:877-379-2854
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC52015207QG0300X
NC2014-01264207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC520145Medicaid