Basic Information
| Provider Information | |||||||||
| NPI: | 1700161627 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TUOMEY MEDICAL PROFESSIONALS, INC | ||||||||
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| OtherOrganizationName: | SUMTER ORTHOPAEDIC ASSOCIATES | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 N SUMTER ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SUMTER | ||||||||
| State: | SC | ||||||||
| PostalCode: | 291504975 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037747621 | ||||||||
| FaxNumber: | 8037747634 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 N SUMTER ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SUMTER | ||||||||
| State: | SC | ||||||||
| PostalCode: | 291504975 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037747621 | ||||||||
| FaxNumber: | 8037747634 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2011 | ||||||||
| LastUpdateDate: | 10/12/2011 | ||||||||
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| AuthorizedOfficialLastName: | LUEBBERT | ||||||||
| AuthorizedOfficialFirstName: | CATHERINE | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | COO/ADMIN DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8037745290 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | SC | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.