Individual
CRISTINA BOSTON SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
804 ENGLISH RD STE 100, ROCKY MOUNT, NC 27804-6023
(252) 467-2069
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09532
NC
363A00000X
Physician Assistant
4551
TN
Other
Enumeration date
10/03/2019
Last updated
05/20/2021
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