Individual
JAMIE D SUMMERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
870 STATE FARM RD STE 103A, BOONE, NC 28607-4862
(828) 264-3333
Mailing address
PO BOX 1038, BOONE, NC 28607-1038
(828) 264-3333
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8603
NC
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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