Organization
SARAWADEE SITTI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAWADEE SITTI MD (OWNER)
(843) 669-5956
Entity
Organization
Contact information
Practice address
514H S DARGAN STREET, FLORENCE, SC 29506
(843) 669-5956
(843) 669-2019
Mailing address
514H S DARGAN STREET, FLORENCE, SC 29506
(843) 669-5956
(843) 669-2019
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RN0300X
Nephrology Physician
Primary
11343
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3783
—
SC
Enumeration date
06/25/2006
Last updated
01/10/2013
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