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Individual

DR. EVAN L. SUMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2301 SOUTH LAMAR BLVD, OXFORD, MS 38655
(662) 232-8568
(662) 513-1450
Mailing address
P.O. BOX 405827, ATLANTA, GA 30384-5827
(901) 227-4068
(228) 575-7420

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16638
MS
208M00000X
Hospitalist Physician
Primary
16638
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00121440
MS
05
02453398
MS
Enumeration date
02/27/2006
Last updated
11/15/2012
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