NPI | 1801048715 |
---|---|
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 | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Additional Taxonomies | 208600000X Surgery |
2086S0129X | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2008-10-22 |
Last Update Date | 2025-10-10 |