Healthcare Provider Details

I. General information

NPI: 1366382046
Provider Name (Legal Business Name): GIRMA BEKELE LEMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 N WASHINGTON ST
SUMTER SC
29150-4949
US

IV. Provider business mailing address

129 N WASHINGTON ST
SUMTER SC
29150-4949
US

V. Phone/Fax

Practice location:
  • Phone: 803-774-4500
  • Fax:
Mailing address:
  • Phone: 803-774-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberLL96906
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: