Provider Demographics
NPI:1023717360
Name:HAMNER, SARAH CELESTE (RD, LDN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CELESTE
Last Name:HAMNER
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 GOLF VIEW RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28461-9000
Mailing Address - Country:US
Mailing Address - Phone:435-535-6638
Mailing Address - Fax:
Practice Address - Street 1:2155 BRITTON RD STE 110
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-2038
Practice Address - Country:US
Practice Address - Phone:910-408-5338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty