NPI | 1215113337 |
---|---|
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 | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2008-01-18 |
Last Update Date | 2025-10-09 |