NPI 1245715796 · live from the CMS NPI Registry
Ccmma Sc LLC
Internal Medicine, Critical Care Medicine in Sumter, SC. National Provider Identifier 1245715796, active.
NPI record
| NPI | 1245715796 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Critical Care Medicine 207RC0200X |
| Practice location | 129 N Washington St, Sumter, SC 29150 |
| Practice phone | 803-774-9000 |
| Mailing address | Po Box 631797, Cincinnati, OH 45263 |
| Enumerated | October 1, 2018 |
| Last updated | April 28, 2025 |
| Authorized official | Corey Scurlock, Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology, Critical Care Medicine | 207LC0200X | — |
| Internal Medicine, Critical Care Medicine primary | 207RC0200X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.