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Organization

MARK S. SUMIDA, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK SUMIDA M.D, (PRESIDENT)
(423) 877-4705
Entity
Organization

Contact information

Practice address
1724 HAMILL ROAD, SUITE 204, HIXSON, TN 37343
(423) 877-4705
(423) 877-9970
Mailing address
1724 HAMILL ROAD, SUITE 204, HIXSON, TN 37343
(423) 877-4705
(423) 877-9970

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20177
TN

Other

Enumeration date
04/11/2008
Last updated
01/06/2015
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