NPI | 1104088921 |
---|---|
Doing Business As | SUMMA HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | GINA ROOD Sr It Systems Analyst 234-312-5193 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Additional Taxonomies | 363L00000X Nurse Practitioner |
364S00000X Clinical Nurse Specialist | |
Enumeration Date | 2008-07-02 |
Last Update Date | 2023-06-14 |