Individual
DANIEL TY SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(770) 643-5619
Mailing address
164 LEE ROAD 148, OPELIKA, AL 36804-8510
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-155060
AL
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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