Individual
SARA ELSIE GRAMLING VAN SCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2239 S CARAWAY RD STE M, JONESBORO, AR 72401-6234
(870) 910-3757
(870) 910-4999
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
(501) 325-7938
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E-1043
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137759001
—
AR
01
—
5L267
BCBS
AR
Enumeration date
11/14/2006
Last updated
06/07/2024
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