NPI | 1689851891 |
---|---|
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 | 363L00000X Nurse Practitioner |
364S00000X Clinical Nurse Specialist | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
Enumeration Date | 2008-01-30 |
Last Update Date | 2025-10-09 |