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115 N Sumter St Suite 400 Sumter SC 29150-4972 | |
(803) 774-5290 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 115 N Sumter St, Sumter, South Carolina |
Authorized Official Name and Position | Catherine E Luebbert (COO/EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8037749037 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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115 N Sumter St Suite 400 Sumter SC 29150-4972 Ph: () - | 115 N Sumter St Suite 400 Sumter SC 29150-4972 Ph: (803) 774-5290 |
NPI Number | 1508298704 |
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Provider Enumeration Date | 07/30/2013 |
Last Update Date | 07/30/2013 |
Identifier | Type | State | Issuer |
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1508298704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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