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1962838391
WILLIAM J SUMMERFORD
MACON, GA
NPI
1962838391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 006961)
Enumeration Date
2013-09-17
Last Update Date
2014-12-15
Business Address
-- WILLIAM J SUMMERFORD PA-AA
777 HEMLOCK ST MSC10
MACON, GA 31201-2102
Phone number: 866-507-5244
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Mailing Address
-- WILLIAM J SUMMERFORD PA-AA
PO BOX 551420
FORT LAUDERDALE, FL 33355-1420
Phone number: 800-243-3839
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