Individual
THOMAS EDWARD SUMNER
Active
Individual
THOMAS EDWARD SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
21126
NC
2085R0202X
Diagnostic Radiology Physician
21126
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207680000
—
WV
01
—
2118
PARTNERS
—
01
—
370020947
RR MEDICARE
—
01
—
4245108
AETNA
—
01
—
64191
MEDCOST
—
05
—
7230176
—
VA
01
—
80993
BCBS
—
05
—
8980993
—
NC
05
—
Q21126
—
SC
Enumeration date
12/07/2005
Last updated
05/13/2016
Update your record
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