Organization
MGM-MEDICAL GOALS MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN SUMTER-DAVIS CRNP (CEO)
(610) 405-1292
Entity
Organization
Contact information
Practice address
1732A MARSH RD STE 216, WILMINGTON, DE 19810-4606
(610) 405-1292
Mailing address
1732A MARSH RD STE 216, WILMINGTON, DE 19810-4606
(610) 405-1292
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/03/2021
Last updated
04/17/2022
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