Provider Demographics
NPI:1215964721
Name:BARNHART, SARAH J (PAC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:J
Last Name:BARNHART
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:431 MEADOWLARK ST
Mailing Address - Street 2:20TH MDG/SGHC
Mailing Address - City:SHAW A F B
Mailing Address - State:SC
Mailing Address - Zip Code:29152-5019
Mailing Address - Country:US
Mailing Address - Phone:803-895-6356
Mailing Address - Fax:803-895-6456
Practice Address - Street 1:431 MEADOWLARK ST
Practice Address - Street 2:20TH MDG/SGHC
Practice Address - City:SHAW A F B
Practice Address - State:SC
Practice Address - Zip Code:29152-5019
Practice Address - Country:US
Practice Address - Phone:843-388-0606
Practice Address - Fax:843-388-0607
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9101899363AM0700X
SC1115363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI51063Medicare ID - Type UnspecifiedPROVIDER NUMBER
S55317Medicare UPIN