NPI | 1013191709 |
---|---|
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 | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
207Q00000X Family Medicine | |
Enumeration Date | 2007-12-18 |
Last Update Date | 2025-10-09 |