NPI | 1740424787 |
---|---|
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 | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 208600000X Surgery |
207RH0003X Internal Medicine, Hematology & Oncology | |
363L00000X Nurse Practitioner | |
207QH0002X Family Medicine, Hospice and Palliative Medicine | |
364S00000X Clinical Nurse Specialist | |
Enumeration Date | 2009-04-21 |
Last Update Date | 2025-10-09 |