Provider Demographics
NPI:1770468944
Name:HARRISON, SARAH CHRISTIAN
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CHRISTIAN
Last Name:HARRISON
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 WINDSOR CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-3214
Mailing Address - Country:US
Mailing Address - Phone:601-493-7713
Mailing Address - Fax:
Practice Address - Street 1:2401 E BLACKSTOCK RD
Practice Address - Street 2:
Practice Address - City:ROEBUCK
Practice Address - State:SC
Practice Address - Zip Code:29376-3206
Practice Address - Country:US
Practice Address - Phone:864-576-6151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program