Individual
MRS. SUMMER RAE CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5000 COX RD, SUITE 100, GLEN ALLEN, VA 23060-9263
(804) 822-4351
(804) 217-7991
Mailing address
PO BOX 758963, BALTIMORE, MD 21275-8963
(804) 968-5700
(804) 217-7991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/26/2007
Last updated
11/07/2012
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