Individual
ANTHONY SUMMERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
890 PIKESVILLE RD, FULTON, MS 38843-7384
(662) 321-2273
Mailing address
PO BOX 1728, FULTON, MS 38843-1728
(662) 321-2273
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
880703
MS
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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