Organization
MARK S SUMIDA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SUMIDA (PRESIDENT)
(423) 877-4705
Entity
Organization
Contact information
Practice address
2051B HAMILL RD STE 107, HIXSON, TN 37343-4092
(423) 877-4705
Mailing address
2051B HAMILL RD STE 107, HIXSON, TN 37343-4092
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
28047
TN
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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