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NPI Code Detail

MEDICARE: TUOMEY OBGYN SERVICES LLC

MEDICARE: TUOMEY OBGYN SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518936822
Entity Type Code : Organization
Provider Name (Legal Business Name) : TUOMEY OBGYN SERVICES LLC
Provider Business Mailing Address
First Line : PO BOX 3540
Second Line :
City : SUMTER
State : SC
Zip : 29151-3540
Country : US
Telephone Number : 803-775-8351
Fax Number : 803-773-2635
Provider Business Practice Location Address
First Line : 129 N WASHINGTON ST
Second Line :
City : SUMTER
State : SC
Zip : 29150-4949
Country : US
Telephone Number : 803-775-8351
Fax Number : 803-773-2635
Authorized Official
Title or Position : CREDENTIALING/INS/BILLING
Name : MS. TRACIE SCURRY
Credential :
Telephone Number : 803-775-8351
Provider Enumeration Date : 03/17/2006
Last Update Date : 10/29/2007

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