NPI | 1205958956 |
---|---|
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 | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363A00000X Physician Assistant | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2025-10-09 |