| NPI | 1639769672 |
|---|---|
| Doing Business As | SUMMIT MEDICAL OF GEORGIA |
| Entity Type | Organization |
| Authorized Contact | RYAN ELLSWORTH Physician 801-273-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2022-06-29 |