Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Excelsior Medical Clinic, PA

Organization Internal Medicine Physician · NPI 1588618144

Excelsior Medical Clinic, PA is an Internal Medicine Physician in Sumter, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

448 N Main St Excelsior Medical Clinic Pa
Sumter, SC 29150-4233
Phone: (803) 778-2429
Fax: (803) 773-6303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 9647 (SC)
General Practice Physician Taxonomy 208D00000X · Licence 9646 (SC)

Record details

NPI number1588618144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Williams — President · (803) 778-2429
NPI enumeratedMay 19, 2006
Last updated in NPPESOctober 9, 2007
Mailing address448 N Main St, Excelsior Medical Clinic, Pa, Sumter, SC 29150-4233

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