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Individual
STEPHANIE SUMMERHILL-BRCKA
Active
Individual
STEPHANIE SUMMERHILL-BRCKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007885
GA
363A00000X
Physician Assistant
PA9103206
FL
363AS0400X
Surgical Physician Assistant
75264
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003175607C
—
GA
Enumeration date
06/28/2006
Last updated
09/13/2018
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