Organization
SUMTER MEDICAL SPECIALISTS PA
Active
Other names
CAROLINA DIABETES & KIDNEY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUSADEE SUCHINDA MD (OWNER, SEC/TREAS)
(803) 469-7500
Entity
Organization
Contact information
Practice address
635 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 469-7500
(803) 469-7521
Mailing address
635 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 469-7500
(803) 469-7521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20072
SC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
10500
SC
207RN0300X
Nephrology Physician
Primary
08460
SC
207RN0300X
Nephrology Physician
10273
SC
207RN0300X
Nephrology Physician
23697
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DPE034
MEDICAID DM EDUC PROGRAM
SC
05
—
PA7750
—
SC
Enumeration date
09/29/2006
Last updated
09/11/2025
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