Basic Information
| Provider Information | |||||||||
| NPI: | 1518936822 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TUOMEY OBGYN SERVICES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3540 | ||||||||
| Address2: | |||||||||
| City: | SUMTER | ||||||||
| State: | SC | ||||||||
| PostalCode: | 291513540 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037758351 | ||||||||
| FaxNumber: | 8037732635 | ||||||||
| Practice Location | |||||||||
| Address1: | 129 N WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | SUMTER | ||||||||
| State: | SC | ||||||||
| PostalCode: | 291504949 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037758351 | ||||||||
| FaxNumber: | 8037732635 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2006 | ||||||||
| LastUpdateDate: | 10/29/2007 | ||||||||
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| AuthorizedOfficialLastName: | SCURRY | ||||||||
| AuthorizedOfficialFirstName: | TRACIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CREDENTIALING/INS/BILLING | ||||||||
| AuthorizedOfficialTelephone: | 8037758351 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | GP4080 | 05 | SC | MEDICAID |