Sara Sheehan Wallace
MD | Pediatrics | Female
Sara Sheehan Wallace, MD is a West Columbia, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Sara Sheehan Wallace is
3240 Sunset Blvd, West Columbia, South Carolina - 29169-3428. She can be contacted on phone at
803-359-8855 and fax number 803-794-6480.
Sara Sheehan Wallace is a sole proprietor of her business.
NPI number (Unique professional ID) for Sara Sheehan Wallace is
1003255605 which was assigned by NPPES on 18 Jun, 2013 and it was last updated on 14 Dec, 2020.
Sara Sheehan Wallace license number is
35809 for Pediatrics (208000000X) in South Carolina.
Sara Sheehan Wallace is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Sara Sheehan Wallace basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Sara Sheehan Wallace |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Sara Sheehan Wallace address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3240 Sunset Blvd
West Columbia, SC, 29169-3428
United States |
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| Phone Number : | 803-359-8855 |
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| Fax Number : | 803-794-6480 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003255605 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Jun, 2013 |
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| Last Updated On : | 14 Dec, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sara Sheehan Wallace are as mentioned. Primary taxonomy code for Sara Sheehan Wallace, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 35809 | SC |
| 208000000X | Pediatrics | No | LL35809 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Sara Sheehan Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 358099 | MEDICAID | SC | |
| 35809 | Other | SC | SC MEDICAL LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 6069
West Columbia, SC, 29171-6069
United States |
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| Phone Number : | 803-359-8855 |
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| Fax Number : | 803-794-6480 |
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Business Location:
Patients can refer following map for directions to
Sara Sheehan Wallace practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.