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Individual

DR. JOHN HERBERT SUMNERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN

Contact information

Practice address
420 COTTON GIN RD, MONTGOMERY, AL 36117-3557
(334) 260-9129
(334) 260-9665
Mailing address
420 COTTON GIN RD, MONTGOMERY, AL 36117-3557
(334) 260-9129
(334) 260-9665

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
00006213
AL
2080A0000X
Pediatric Adolescent Medicine Physician
0006213
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000006226
AL
01
51006226
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/06/2006
Last updated
04/15/2011
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