Sumter, Dezmond Bernard
Sumter, Dezmond Bernard is an individual health care provider with primary practice located at 3209 Colonial Dr. Fam Med -, Columbia SC 29203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as his primary health care specialty. Sumter, Dezmond Bernard can be contacted via phone (803) 434-6116.Contact Information
Primary practice address
3209 Colonial Dr. Fam Med -
Columbia SC 29203
Phone: (803) 434-6116
Fax: (803) 434-8478
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sleep Medicine | 207QS1201X | 34934 | South Carolina |
Profile Details
NPI number | 1831452853 |
---|---|
LBN Legal business name | Sumter, Dezmond Bernard |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 25th, 2012 |
Last updated | Jun 7th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831452853 | NPPES |
South Carolina | MEDICAID | 349340 |
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