| Organization Name: | SUMTER ORTHOPEDIC |
| NPI Number: | 1114237922 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT LAGESSE (SR VP PHYSICIAN GROUP INC) |
| Mailing Address: | 132 Highway 280 W Americus |
| State: | GA US |
| Postal Code: | 317198645 |
| Phone Number: | 2299311159 |
| Fax Number: | 2299311160 |
| NPI Enumeration Date: | 10/14/2010 |
| NPI Last Update Date: | 10/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |