# SUMMIT OB GYN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124340054
- **Authorized official:** MOSHOOD OLATUNDE OLATINWO MD (PHYSICIAN)
- **Authorized official phone:** (318) 238-4010

## Contact information

- **Practice address:** 655 BIENVILLE CIR, NATCHITOCHES, LA 71457-5744
- **Practice address phone:** (318) 238-4010
- **Mailing address:** PO BOX 2478, NATCHITOCHES, LA 71457-2478
- **Mailing address phone:** (251) 545-7378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 203547 | LA | Yes |

## Other

- **Enumeration date:** 02/19/2010
- **Last updated:** 03/11/2010