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1548821333
SUMNER B DOUGLAS
MADISON, MS
NPI
1548821333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 903149)
Enumeration Date
2019-06-24
Last Update Date
2020-09-25
Business Address
SUMNER B DOUGLAS NP
401 BAPTIST DR STE 1040
MADISON, MS 39110-2009
Phone number: 601-605-2383
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Mailing Address
SUMNER B DOUGLAS NP
965 RIDGE LAKE BLVD STE 103
MEMPHIS, TN 38120-9446
Phone number: 901-226-1613
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