Healthcare Provider Details

I. General information

NPI: 1053363879
Provider Name (Legal Business Name): TUOMEY SURGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 10/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 N SUMTER ST SUITE 300
SUMTER SC
29150-4972
US

IV. Provider business mailing address

129 N WASHINGTON ST
SUMTER SC
29150-4949
US

V. Phone/Fax

Practice location:
  • Phone: 803-778-0212
  • Fax: 803-775-7258
Mailing address:
  • Phone: 803-774-9000
  • Fax: 803-774-5217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MISS BETH LUEBBERT
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 803-774-5290