Doctor Name: | SARA BORKOSKY |
NPI Number: | 1245556992 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M. |
License Number: | 631 |
Business Practice Address: | 5 Winchester Ct Mauldin, SC - 296622626 |
Business Phone Number: | 8642316395 |
Business Fax Number: | 8642316520 |
Mailing Address: | 5 Winchester Ct, MAULDIN |
State: | SC |
Postal Code: | 296622626 |
Phone Number: | 8642316395 |
Fax Number: | 8642316520 |
NPI Enumeration Date: | 04/20/2010 |
NPI Last Update Date: | 07/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |