Wal-Mart Stores East Lp
Specialty details in registry · Sumter, SC
At a glance
615 Bultman Dr, Sumter, SC 29150-2514
NPPES record updated Jun 12, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
615 Bultman DrSumter, SC 29150-2514
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 3336C0003X
- Enumeration date
- Sep 17, 2015
- Record updated
- Jun 12, 2025
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
332B00000X
Specialty details in registry
3336C0003X · Primary
License reported: 16204 SC
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
615 Bultman DrSumter, SC 29150-2514
- Phone
- (803) 305-6194
- Fax
- (803) 305-6197
Mailing address
702 SW 8TH STMAILSTOP 0445
BENTONVILLE, AR 727160445
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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