Individual
ORNUSA TEERASUKJINDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 774-1788
(803) 744-9113
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7303
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36656
SC
207R00000X
Internal Medicine Physician
M-2060
GU
208M00000X
Hospitalist Physician
Primary
M-2060
GU
Other
Enumeration date
06/24/2011
Last updated
05/15/2019
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