Organization
SUMTER MEDICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM STRAT STAVROU M.D. (SECRETARY)
(803) 778-1941
Entity
Organization
Contact information
Practice address
540 PHYSICIANS LN, SUMTER, SC 29150-3370
(803) 778-1941
(803) 938-9513
Mailing address
540 PHYSICIANS LN, SUMTER, SC 29150-3370
(803) 778-1941
(803) 938-9513
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
7862
SC
207RG0100X
Gastroenterology Physician
8318
SC
207RP1001X
Pulmonary Disease Physician
9195
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C30400
RAILROAD MEDICARE
SC
05
—
MPA974
—
SC
Enumeration date
07/06/2006
Last updated
02/07/2008
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