Individual
SUMMER RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
MEDICAL CENTER BLVD DEPARTMENT OF PEDIATRICS, WINSTON SALEM, NC 27157-0001
(336) 244-3166
Mailing address
MEDICAL CENTER BLVD DEPARTMENT OF PEDIATRICS, WINSTON SALEM, NC 27157-0001
(336) 244-3166
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
5018899
NC
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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