Individual
ELMINA LANIER SUMMERALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
669 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7165
(843) 735-3789
Mailing address
248 CONFEDERATE CIR, CHARLESTON, SC 29407-7429
(843) 735-3789
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
042-0010970
VT
2084P0800X
Psychiatry Physician
Primary
MD40246
SC
Other
Enumeration date
06/01/2007
Last updated
02/14/2017
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