NPI | 1003371915 |
---|---|
Doing Business As | SUMMA HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | WENDY CARSON Manager, Payer Enrollment 234-312-5691 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
363A00000X Physician Assistant | |
Enumeration Date | 2019-02-05 |
Last Update Date | 2024-02-14 |