Individual
JOSEPH C. SUMRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1102 CONSTITUTION AVENUE, MERIDIAN, MS 39302
(601) 484-3357
Mailing address
109 KAYFIELD PL, MADISON, MS 39110-6539
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18568
MS
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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