Healthcare Provider Details

I. General information

NPI: 1700161627
Provider Name (Legal Business Name): TUOMEY MEDICAL PROFESSIONALS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2011
Last Update Date: 10/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N SUMTER ST SUITE 200
SUMTER SC
29150-4975
US

IV. Provider business mailing address

100 N SUMTER ST SUITE 200
SUMTER SC
29150-4975
US

V. Phone/Fax

Practice location:
  • Phone: 803-774-7621
  • Fax: 803-774-7634
Mailing address:
  • Phone: 803-774-7621
  • Fax: 803-774-7634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateSC

VIII. Authorized Official

Name: MRS. CATHERINE E LUEBBERT
Title or Position: COO/ADMIN DIRECTOR
Credential:
Phone: 803-774-5290