MEDICARE: EMILY TUM SUDEN DPT

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
1	225100000X	Physical Therapist	PT11374	SC
2	225100000X	Physical Therapist	PT014011	GA
3	225100000X	Physical Therapist	PT21377	NC

General Provider Information

NPI Number	:	1629638762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY TUM SUDEN DPT

Provider Business Mailing Address
First Line	:	21 GATEWAY CORNERS PARK STE 102
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-8906
Country	:	US
Telephone Number	:	803-699-9775
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 GATEWAY CORNERS PARK STE 102
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-8906
Country	:	US
Telephone Number	:	803-699-9775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2019
Last Update Date	:	11/01/2022

Similar Medicare Providers

1780650937 — FANWEI MENG MD
Practice Location Address:

21 GATEWAY CORNERS PARK STE 101
COLUMBIA, SC
29203-8906

Practice Phone: 803-865-2122
Practice Fax: 803-779-3103

1124070768 — DR. KRISTINA P HURSEY MD
Practice Location Address:

21 GATEWAY CORNERS PARK , SUITE 101
COLUMBIA, SC
29203-8906

Practice Phone: 803-865-2122
Practice Fax:

1407336076 — LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Practice Location Address:

21 GATEWAY CORNERS PARK STE 101
COLUMBIA, SC
29203-8906

Practice Phone: 803-865-2122
Practice Fax:

1821696949 — LEXINGTON HEALTH INC
Practice Location Address:

21 GATEWAY CORNERS PARK STE 101
COLUMBIA, SC
29203-8906

Practice Phone: 803-419-4949
Practice Fax: 803-419-6445

1275107740 — MR. SANTTANU MCDANIEL SR. PTA
Practice Location Address:

21 GATEWAY CORNERS PARK STE 102
COLUMBIA, SC
29203-8906

Practice Phone: 803-699-9775
Practice Fax:

1336387778 — POLLOCK PSYCHIATRY LLC
Practice Location Address:

116 BELLE GROVE CIR
COLUMBIA, SC
29229-8906

Practice Phone: 803-422-6765
Practice Fax:

Directions to “ EMILY TUM SUDEN DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.