NPI | 1689615148 |
---|---|
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 |
103TC0700X Psychologist, Clinical | |
104100000X Social Worker | |
363L00000X Nurse Practitioner | |
101Y00000X Counselor | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2006-06-08 |
Last Update Date | 2025-10-10 |