Individual
ANDREW IVAN SUMICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
(704) 335-8448
Mailing address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
(704) 335-8448
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2005-00441
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900887
—
NC
05
—
N0044K
—
SC
Enumeration date
02/20/2006
Last updated
11/11/2024
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