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Contact Information

CCMMA SC LLC
129 N WASHINGTON ST
SUMTER, SC29150-4949
 Phone: 803-774-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CCMMA SC LLC

NPI Number 1245715796
LBN Legal business name CCMMA SC LLC
Authorized official COREY SCURLOCK - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2018
Last updated 04/28/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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