NPI | 1760627764 |
---|---|
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 | 207RC0200X Internal Medicine, Critical Care Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
2084N0400X Psychiatry & Neurology, Neurology | |
207RP1001X Internal Medicine, Pulmonary Disease | |
363L00000X Nurse Practitioner | |
364S00000X Clinical Nurse Specialist | |
363A00000X Physician Assistant | |
Enumeration Date | 2008-12-05 |
Last Update Date | 2025-10-09 |