Individual
JEFFREY T SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2470 FLOWOOD DRIVE, FLOWOOD, MS 39232
(877) 554-4257
(601) 983-2845
Mailing address
2470 FLOWOOD DRIVE, FLOWOOD, MS 39232
(877) 554-4257
(601) 983-2845
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
13314
MS
208VP0000X
Pain Medicine Physician
Primary
ME136228
FL
208VP0014X
Interventional Pain Medicine Physician
13314
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113488
—
MS
01
—
050081213
RAILROAD MEDICARE
MS
Enumeration date
08/28/2006
Last updated
03/18/2024
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