Organization
WILLIAM D.SUMMERS MD, GYNECOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWEN GOODMAN (OFFICE MANAGER)
(205) 838-3740
Entity
Organization
Contact information
Practice address
52 MEDICAL PARK EAST DRIVE, SUITE 215, BIRMINGHAM, AL 35235-3430
(205) 838-3740
(205) 838-3845
Mailing address
52 MEDICAL PARK EAST DRIVE, SUITE 215, BIRMINGHAM, AL 35235-3430
(205) 838-3740
(205) 838-3845
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00014623
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051530187
—
AL
01
—
1821190133
NPI
AL
01
—
529925880
GROUP PAYOR MEDICAID OF ALABAMA
AL
Enumeration date
09/05/2006
Last updated
03/06/2020
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