Individual
MS. REATHIA SUE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
157 HWY 492, SEBASTOPOL, MS 39359
(601) 668-0302
Mailing address
157 HWY 492, SEBASTOPOL, MS 39359
(601) 668-0302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R661171
MS
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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