Provider Demographics
NPI:1922065747
Name:SADLER, PATRICIA EARLE (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:EARLE
Last Name:SADLER
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 1:1304 SPRINGDALE DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:SC
Mailing Address - Zip Code:29325-7226
Mailing Address - Country:US
Mailing Address - Phone:864-833-6287
Mailing Address - Fax:864-938-0086
Practice Address - Street 1:1304 SPRINGDALE DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:SC
Practice Address - Zip Code:29325-7226
Practice Address - Country:US
Practice Address - Phone:864-833-6287
Practice Address - Fax:864-938-0086
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC12560207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC125607Medicaid
SC125607Medicaid
SCB917170281Medicare ID - Type Unspecified