Individual
DR. TIMOTHY SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 WHITE ST, MCCOMB, MS 39648
(601) 249-4214
(601) 249-1062
Mailing address
1701 WHITE ST, PO BOX 768, MCCOMB, MS 39648
(601) 249-4214
(601) 249-1062
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
07197
MS
2084P0804X
Child & Adolescent Psychiatry Physician
07197
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121795
—
MS
Enumeration date
11/13/2006
Last updated
01/03/2022
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