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Organization

PLASTIC & RECONSTRUCTIVE SURGERY OF SUMTER, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY R. CULBERTSON M.D. (PRESIDENT)
(803) 773-6361
Entity
Organization

Contact information

Practice address
18 MILLER RD, SUMTER, SC 29150-2403
(803) 773-6361
(803) 773-6009
Mailing address
18 MILLER RD, SUMTER, SC 29150-2403
(803) 773-6361
(803) 773-6009

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17109
SC

Other

Enumeration date
10/17/2007
Last updated
12/03/2014
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