Individual
LINDA SUMMERALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1407 KING ST, BEAUFORT, SC 29902-4937
(843) 521-5572
Mailing address
PO BOX 189, 65 SUMMERALL ROAD, SAINT HELENA ISLAND, SC 29920-0189
(843) 838-2909
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
17818
SC
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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