Individual
DR. SUMMER LEA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501
(228) 867-4000
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 575-1194
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
22710
MS
207RP1001X
Pulmonary Disease Physician
22710
MS
208M00000X
Hospitalist Physician
Primary
22710
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09689701
—
MS
Enumeration date
07/02/2010
Last updated
08/10/2023
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