Individual
MRS. DAWN M SUMRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 MARION AVE, MCCOMB, MS 39648-2705
(601) 684-9116
(601) 684-9126
Mailing address
PO BOX 1348, MCCOMB, MS 39649-1348
(601) 684-9116
(601) 684-9126
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12588
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115271
—
MS
01
—
CJ3236
RAILROAD MEDICARE
MS
Enumeration date
08/30/2006
Last updated
03/06/2008
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