Sumter Surgical Associate

NPI #1124070826 in Sumter, South Carolina

Provider Information

NPI Number: 1124070826
Entity Type: Organization
Organization Name: Sumter Surgical Associate
Primary Specialty: Specialist
Enumeration Date: May 17, 2006
Last Updated: Oct 23, 2007

Practice Location

Address: 115 N SUMTER ST
Address 2: SUITE 300
City: Sumter
State: South Carolina
ZIP Code: 29150-4972
Phone: (803) 778-0212

Authorized Official

Name: HENRY P MOSES, MD
Title: PHYSICIAN-PARTNER
Phone: (803) 778-0212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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