Sumter Surgical Associate

LBN: Sumter Surgical Associate
Sumter Surgical Associate is an health care organization with primary practice located at 115 N Sumter St Suite 300, Sumter SC 29150-4972. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Sumter Surgical Associate can be contacted via phone (803) 778-0212, or through Moses, Henry P via phone (803) 778-0212.

Contact Information

Primary practice address
115 N Sumter St Suite 300 Sumter SC 29150-4972
Phone: (803) 778-0212
Fax: (803) 775-7258
Website:
Map and Directions
Authorized official contact:
Name: Moses, Henry P Doctor of Medicine (MD)
Phone: (803) 778-0212

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1124070826
LBN Legal business name Sumter Surgical Associate
DBA Doing business as
Authorized official Moses, Henry P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Oct 23rd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124070826 NPPES
South Carolina MEDICAID GP1090

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