Provider Demographics
NPI:1891106811
Name:DERRINGTON, SARAH M (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:M
Last Name:DERRINGTON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:JACKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1235 NEXTON PKWY
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-2935
Mailing Address - Country:US
Mailing Address - Phone:843-459-8400
Mailing Address - Fax:843-459-8401
Practice Address - Street 1:1235 NEXTON PKWY UNIT B
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-2936
Practice Address - Country:US
Practice Address - Phone:843-459-8400
Practice Address - Fax:843-459-8401
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-13
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10050826207R00000X
SC52172207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC52172OtherMD LICENSE