Individual
CAROLINE BURT SUMMERSGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 QUAIL LN, RUSTON, LA 71270-2868
(318) 514-9352
Mailing address
1606 QUAIL LN, RUSTON, LA 71270-2868
(318) 514-9352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
11/06/2024
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