Organization
SUMTER RADIOLOGICAL,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY L PANNELL (PRESIDENT)
(803) 236-6207
Entity
Organization
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 772-9190
(803) 774-1704
Mailing address
PO BOX 10525, PEORIA, IL 61612-0525
(800) 843-1822
(866) 429-6797
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
03/13/2019
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