| Sumter Internal Medicine Associates | |
|
12 Barnette Dr Sumter SC 29150-8004 | |
| (803) 773-5442 | |
| (803) 778-2394 |
| Full Name | Sumter Internal Medicine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 12 Barnette Dr, Sumter, South Carolina |
| Authorized Official Name and Position | Thomas Hawkey (OWNER) |
| Authorized Official Contact | 8037735442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumter Internal Medicine Associates 12 Barnette Dr Sumter SC 29150-8004 Ph: (803) 773-5442 | Sumter Internal Medicine Associates 12 Barnette Dr Sumter SC 29150-8004 Ph: (803) 773-5442 |
| NPI Number | 1144318460 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 05/01/2008 |
| Medicare PECOS PAC ID | 6406984780 |
|---|---|
| Medicare Enrollment ID | O20100506000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144318460 | NPI | - | NPPES |
| CK2453 | Other | SC | RAILROAD MEDICARE |
| GP0872 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0319 (South Carolina) | Primary |
| Provider Name | Thomas Hawkey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043292618 PECOS PAC ID: 2567590847 Enrollment ID: I20110223000163 |
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