NPI | 1184968836 |
---|---|
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 | 2085R0001X Radiology, Radiation Oncology |
Additional Taxonomies | 208200000X Plastic Surgery |
208600000X Surgery | |
Enumeration Date | 2012-11-19 |
Last Update Date | 2024-12-04 |