Provider Demographics
NPI:1841950862
Name:HANKS, SARA E (HIS)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:E
Last Name:HANKS
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:E
Other - Last Name:BOLTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HIS
Mailing Address - Street 1:438 W HAYMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:KILL DEVIL HILLS
Mailing Address - State:NC
Mailing Address - Zip Code:27948-9614
Mailing Address - Country:US
Mailing Address - Phone:252-678-2213
Mailing Address - Fax:
Practice Address - Street 1:3704 N CROATAN HWY STE D&E
Practice Address - Street 2:
Practice Address - City:KITTY HAWK
Practice Address - State:NC
Practice Address - Zip Code:27949-9256
Practice Address - Country:US
Practice Address - Phone:252-441-6774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-20
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist