Organization
SUMTER GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEG KWIECINSKI (BUSINESS OFFICE MANAGER)
(803) 905-6944
Entity
Organization
Contact information
Practice address
641 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 905-6944
(803) 469-3944
Mailing address
641 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 905-6944
(803) 469-3944
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5689
—
SC
Enumeration date
02/08/2011
Last updated
12/29/2022
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