| Sumter Family Medicine, Pa | |
|
738 W Liberty St Ste A Sumter SC 29150-4745 | |
| (803) 775-6374 | |
| Not Available |
| Full Name | Sumter Family Medicine, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 738 W Liberty St Ste A, Sumter, South Carolina |
| Authorized Official Name and Position | James Roper Ingram (PRESIDENT, P.A.) |
| Authorized Official Contact | 8037756374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumter Family Medicine, Pa 738 W Liberty St Ste A Sumter SC 29150-4745 Ph: (803) 775-6374 | Sumter Family Medicine, Pa 738 W Liberty St Ste A Sumter SC 29150-4745 Ph: (803) 775-6374 |
| NPI Number | 1902846595 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 02/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902846595 | NPI | - | NPPES |
| GP0254 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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