Healthcare Provider Details

I. General information

NPI: 1548305691
Provider Name (Legal Business Name): TUOMEY MEDICAL PROFESSIONALS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 07/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 W WESMARK BLVD
SUMTER SC
29150-1986
US

IV. Provider business mailing address

250 W WESMARK BLVD
SUMTER SC
29150-1986
US

V. Phone/Fax

Practice location:
  • Phone: 803-774-5200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE LUEBBERT
Title or Position: COO ADMINISTRATIVE DIRECTOR
Credential:
Phone: 803-774-9037