Graczyk, Sarena G

Graczyk, Sarena G is an individual health care provider with primary practice located at 240 Stoneridge Dr Suite 304, Columbia SC 29210-8013. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Graczyk, Sarena G can be contacted via phone (803) 708-8126.

Contact Information

Primary practice address
240 Stoneridge Dr Suite 304 Columbia SC 29210-8013
Phone: (803) 708-8126
Fax: (803) 708-1370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 15395 South Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 15395 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 15395 South Carolina

Profile Details

NPI number 1104906254
LBN Legal business name Graczyk, Sarena G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Sep 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104906254 NPPES
South Carolina Other 050028873 RR MEDICARE
South Carolina Other 2001122 RR MEDICARE
South Carolina Other 4137846 RR MEDICARE
South Carolina Other 153951 RR MEDICARE
South Carolina MEDICAID 153951 RR MEDICARE
South Carolina Other 77837 RR MEDICARE

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