NPI | 1972610442 |
---|---|
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 | 207VG0400X Obstetrics & Gynecology, Gynecology |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
363A00000X Physician Assistant | |
Enumeration Date | 2006-08-23 |
Last Update Date | 2025-10-13 |