NPI | 1124069893 |
---|---|
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 | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
363L00000X Nurse Practitioner | |
363A00000X Physician Assistant | |
Enumeration Date | 2006-06-10 |
Last Update Date | 2025-10-13 |