Most Relevant Information
Provider Data
NPI Number: | 1003459942 |
Provider Name: | SUMMER ANN FELIX IDMT |
Entity Type: | Individual |
Taxonomy Code: | 1710I1003X |
Specialty: | Military Health Care Provider |
License Number: |
Most Important Dates
Enumeration Date: | 10/23/2019 |
Last Updated: | 10/23/2019 |
Provider Practice Location
4260 NELSON HILL PL
HAHIRA
GA
316323264
Practice Location Phone/Fax
Phone: | 5864570275 |
Fax: |
Provider Mailing Location
4260 NELSON HILL PL
HAHIRA
GA
316323264
Provider Mailing Phone/Fax
Phone: | |
Fax: |