Individual
MR. ADAM LEE SUMMERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-6174
(731) 541-8008
Mailing address
PO BOX 11955, JACKSON, TN 38308-0132
(888) 630-0845
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
52582
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q014176
—
TN
Enumeration date
04/30/2009
Last updated
04/28/2017
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