Individual
DR. DEDRE SUMIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2051B HAMILL RD STE 107, HIXSON, TN 37343-4092
(423) 877-4705
(423) 877-9970
Mailing address
2051B HAMILL RD STE 107, HIXSON, TN 37343-4092
(423) 877-4705
(423) 877-9970
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28047
TN
208000000X
Pediatrics Physician
BB4317459
CA
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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