Individual
ROBERT SUMMITT
Active
Individual
ROBERT SUMMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
15838
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116255
—
MS
01
—
2616901
CIGNA
—
05
—
3891067
—
TN
01
—
4077772
BCBS TN
TN
01
—
4106878
AETNA HMO
—
01
—
85291
BCBS AR
AR
01
—
P00325421
RAILROAD MEDICARE
TN
Enumeration date
07/13/2006
Last updated
04/01/2020
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