Organization
WESMARK AMBULATORY SURGERY CENTER
Active
Other names
SUMTER UROLOGICAL SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E LEE MD (MEDICAL DIRECTOR)
(803) 905-5590
Entity
Organization
Contact information
Practice address
420 W WESMARK BLVD, SUMTER, SC 29150-1983
(803) 905-5590
(803) 905-5595
Mailing address
420 W WESMARK BLVD, SUMTER, SC 29150-1983
(803) 905-5590
(803) 905-5595
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
05 15999
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC051
—
SC
Enumeration date
01/26/2006
Last updated
08/22/2020
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