Individual
DR. NATHAN SHANE SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81MDOS/SGOMU, 301 FISHER STREET STE 1F-130, KEESLER AFB, MS 39534-2519
(228) 376-3791
Mailing address
81MDOS/SGOMU, 301 FISHER STREET STE 1F-130, KEESLER AFB, MS 39534-2519
(228) 376-3791
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD.28744
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2007
Last updated
11/05/2025
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