Individual
SARIA CARTER SACCOCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
877 W FARIS RD, SUITE A, GREENVILLE, SC 29605-4289
(864) 455-7800
(864) 455-9082
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101249046
VA
207Q00000X
Family Medicine Physician
Primary
37617
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270911200
—
FL
05
—
376178
—
SC
Enumeration date
11/01/2006
Last updated
06/29/2021
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