Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 16400 | SC |
NPI | 1396747390 |
---|---|
Provider Name | Dr. Emmanuel U Sarmiento |
First Address | Greenville, SC 29607-5910 |
Second Address | Greenville, SC 29607-5910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 08/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
164002 | (05) | SC |
F49222 | (02) |