Individual
DR. JANNA MARIE SUMMERALL-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3011 HAMPTON AVE, BRUNSWICK, GA 31520-4264
(912) 261-2669
(912) 261-0561
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8781
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
39242
NH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME84750
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282075677A
—
GA
Enumeration date
08/07/2006
Last updated
04/03/2026
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