NPI | 1700816261 |
---|---|
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 | 207RI0200X Internal Medicine, Infectious Disease |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2006-07-03 |
Last Update Date | 2024-08-05 |