NPI | 1154728061 |
---|---|
Doing Business As | SUMMA HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | GINA ROOD Sr It Analyst Specialist 234-312-5193 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
207V00000X Obstetrics & Gynecology | |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2014-11-21 |
Last Update Date | 2022-12-14 |