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635 W Wesmark Blvd Sumter SC 29150-1900 | |
(803) 469-7500 | |
(803) 469-7521 |
Full Name | |
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Speciality | Internal Medicine |
Location | 635 W Wesmark Blvd, Sumter, South Carolina |
Authorized Official Name and Position | Pusadee Suchinda (OWNER, SEC/TREAS) |
Authorized Official Contact | 8034697500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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635 W Wesmark Blvd Sumter SC 29150-1900 Ph: (803) 469-7500 | 635 W Wesmark Blvd Sumter SC 29150-1900 Ph: (803) 469-7500 |
NPI Number | 1619069481 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2264324433 |
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Medicare Enrollment ID | O20040325000405 |
Identifier | Type | State | Issuer |
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1619069481 | NPI | - | NPPES |
DPE034 | Other | SC | MEDICAID DM EDUC PROGRAM |
PA7750 | Medicaid | SC |
Provider Name | Jon Harrell Docherty |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1336185057 PECOS PAC ID: 8123931722 Enrollment ID: I20031110000598 |
Provider Name | Pusadee Suchinda |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1194817932 PECOS PAC ID: 2769443258 Enrollment ID: I20110412000513 |
Provider Name | James Cain |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1174615868 PECOS PAC ID: 5092991976 Enrollment ID: I20110510000442 |
Sumter Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12 Barnette Dr, Sumter, SC 29150 Phone: 803-773-5442 Fax: 803-778-2394 | |
Colonial Family Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Broad St Ste 200, Sumter, SC 29150 Phone: 803-773-5227 Fax: 803-418-0202 | |
Invostix Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 E Wesmark Blvd Ste 2, Sumter, SC 29150 Phone: 803-757-1238 | |