Organization
SUMMIT THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LAWRENCE MD (CHIEF EXECUTIVE OFFICER)
(706) 514-6250
Entity
Organization
Contact information
Practice address
208 SUMMITRAIL LN, DAWSONVILLE, GA 30534-7781
(706) 514-6250
Mailing address
208 SUMMITRAIL LN, DAWSONVILLE, GA 30534-7781
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/03/2019
Last updated
02/03/2019
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