Provider Demographics
NPI:1942638663
Name:SILVIS, SARAH DOOBROW (PA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:DOOBROW
Last Name:SILVIS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8740 RIVERS AVE
Mailing Address - Street 2:
Mailing Address - City:N CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9211
Mailing Address - Country:US
Mailing Address - Phone:843-572-5990
Mailing Address - Fax:843-572-2928
Practice Address - Street 1:8740 RIVERS AVE
Practice Address - Street 2:
Practice Address - City:N CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9211
Practice Address - Country:US
Practice Address - Phone:843-572-5990
Practice Address - Fax:843-572-2928
Is Sole Proprietor?:No
Enumeration Date:2013-10-15
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1987363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant