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Organization

DR. JEFF SUMMERS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY T SUMMERS M.D. (PHYSICIAN)
(601) 936-8869
Entity
Organization

Contact information

Practice address
1 LAYFAIR DR, STE400, JACKSON, MS 39232-9717
(601) 936-8869
(601) 932-8869
Mailing address
1 LAYFAIR DR, STE400, JACKSON, MS 39232-9717
(601) 936-8869
(601) 932-8869

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DA3213
RAILROAD MEDICARE
MS
Enumeration date
05/22/2007
Last updated
03/07/2008
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