Sittisuntorn, Sarawadee

Sittisuntorn, Sarawadee is an individual health care provider with primary practice located at 514 S Dargan St Suite H, Florence SC 29506-2552. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sittisuntorn, Sarawadee can be contacted via phone (843) 669-5956.

Contact Information

Primary practice address
514 S Dargan St Suite H Florence SC 29506-2552
Fax: (843) 669-2019
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11343 South Carolina

Profile Details

NPI number 1306838891
LBN Legal business name Sittisuntorn, Sarawadee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Sep 2nd, 2015 - about 10 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 1306838891 NPPES
South Carolina MEDICAID 113433

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