Individual
DR. JEAN SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 SPARTA RD, SUITE F, SANDERSVILLE, GA 31082-1371
(478) 552-0001
(478) 552-0048
Mailing address
501 SPARTA RD, SUITE F, SANDERSVILLE, GA 31082-1371
(478) 552-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30225
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00404929A
—
GA
05
—
00404929B
—
GA
01
—
023787
BCBS
GA
01
—
110026064
RAILROAD MEDICARE
GA
Enumeration date
04/18/2006
Last updated
05/29/2008
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