Individual
ANDRA R SUMMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8210 DEODORA CEDAR LN, CHARLOTTE, NC 28215-7140
(980) 216-6586
Mailing address
8210 DEODORA CEDAR LN, CHARLOTTE, NC 28215-7140
(980) 216-6586
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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