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SUMTER MEDICAL SPECIALISTS PA NPI 1619069481


NPI Information

NPI: 1619069481
Provider Name: SUMTER MEDICAL SPECIALISTS PA

Other Name: CAROLINA DIABETES & KIDNEY CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
635 W WESMARK BLVD
SUMTER, SC
ZIP 29150
Phone: (803) 469-7500
Get Directions

SUMTER MEDICAL SPECIALISTS PA is an internal medicine in Sumter, SC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SUMTER MEDICAL SPECIALISTS PA NPI is 1619069481. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Carolina Diabetes & Kidney Center.

The provider's business location address is:

635 W WESMARK BLVD
SUMTER, SC
ZIP 29150-900
Phone: (803) 469-7500
Fax: (803) 469-7521

The provider's authorized official is Pusadee Suchinda .
The authorized official title is Owner, Sec/treas and has the following contact phone number (803) 469-7500.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine20072SOUTH CAROLINAYes
2207RN0300XInternal MedicineNephrology23697SOUTH CAROLINAX
3207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism10500SOUTH CAROLINAX
4207RN0300XInternal MedicineNephrology10273SOUTH CAROLINAX
5207RN0300XInternal MedicineNephrology08460SOUTH CAROLINAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PA7750MEDICAIDSOUTH CAROLINA
2DPE034OTHERSOUTH CAROLINAMEDICAID DM EDUC PROGRAM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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