| Mmcs | |
|
259 Broad St Ste A Sumter SC 29150-4146 | |
| (803) 439-8643 | |
| (803) 494-2166 |
| Full Name | Mmcs |
|---|---|
| Speciality | Internal Medicine |
| Location | 259 Broad St Ste A, Sumter, South Carolina |
| Authorized Official Name and Position | Loreli Munford (OWNER) |
| Authorized Official Contact | 8034398643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmcs 4150 Cobblestone Rd Sumter SC 29154-8043 Ph: (803) 439-8643 | Mmcs 259 Broad St Ste A Sumter SC 29150-4146 Ph: (803) 439-8643 |
| NPI Number | 1295089928 |
|---|---|
| Provider Enumeration Date | 11/02/2012 |
| Last Update Date | 01/31/2024 |
| Medicare PECOS PAC ID | 2062663008 |
|---|---|
| Medicare Enrollment ID | O20121121000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295089928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 28414 (South Carolina) | Primary |
| 208000000X | Pediatrics | 28414 (South Carolina) | Secondary |
| Provider Name | Loreli R Munford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275591430 PECOS PAC ID: 4284649385 Enrollment ID: I20060210000268 |
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