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Individual

DR. HOLLY G SUMMERLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4507 HOSPITAL ST, PASCAGOULA, MS 39581-5336
(228) 762-8132
(228) 769-9231
Mailing address
4507 HOSPITAL ST, PASCAGOULA, MS 39581-5336
(228) 762-8132
(228) 769-9231

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18604
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08826864
MS
Enumeration date
12/28/2005
Last updated
04/14/2015
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