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Organization

MARK S. SUMIDA, MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK SUMIDA MD (OWNER)
(423) 877-4705
Entity
Organization

Contact information

Practice address
1724 HAMILL RD STE 204, HIXSON, TN 37343-5098
(423) 877-4705
(423) 877-9970
Mailing address
1724 HAMILL RD STE 204, HIXSON, TN 37343-5098
(423) 877-4705
(423) 877-9970

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
12/12/2019
Last updated
12/12/2019
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