Provider Demographics
NPI:1023410370
Name:FREE, SABRINA MARINA (FNP)
Entity type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:MARINA
Last Name:FREE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:SABRINA
Other - Middle Name:MARINA
Other - Last Name:HILBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:105 RED ASH LANE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072
Mailing Address - Country:US
Mailing Address - Phone:803-351-7786
Mailing Address - Fax:216-472-2740
Practice Address - Street 1:AFLAC CARE CENTER (MARATHON HEALTH)
Practice Address - Street 2:400 LAUREL STREET
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201
Practice Address - Country:US
Practice Address - Phone:803-807-2823
Practice Address - Fax:803-253-7571
Is Sole Proprietor?:No
Enumeration Date:2014-09-18
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19080363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP2955Medicaid
SCNP2955Medicaid