NPI | 1205009107 |
---|---|
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 | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
207RG0300X Internal Medicine, Geriatric Medicine | |
Enumeration Date | 2008-04-11 |
Last Update Date | 2025-10-13 |