Individual
DR. JAMES SIERAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7000
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
39919
SC
208000000X
Pediatrics Physician
OS12748
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
39919
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399198
—
SC
Enumeration date
04/04/2011
Last updated
06/08/2021
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