Provider Demographics
NPI:1700161627
Name:TUOMEY MEDICAL PROFESSIONALS, INC
Entity Type:Organization
Organization Name:TUOMEY MEDICAL PROFESSIONALS, INC
Other - Org Name:SUMTER ORTHOPAEDIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO/ADMIN DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:LUEBBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-774-5290
Mailing Address - Street 1:100 N SUMTER ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-4975
Mailing Address - Country:US
Mailing Address - Phone:803-774-7621
Mailing Address - Fax:803-774-7634
Practice Address - Street 1:100 N SUMTER ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-4975
Practice Address - Country:US
Practice Address - Phone:803-774-7621
Practice Address - Fax:803-774-7634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty