Individual
ELMER R SUMMITT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
916 LAFAYETTE RD, SUITE C, ROSSVILLE, GA 30741-2071
(706) 866-6600
(706) 866-6665
Mailing address
916 LAFAYETTE RD, SUITE C, ROSSVILLE, GA 30741-2071
(706) 866-6600
(706) 866-6665
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
PHWH001788
GA
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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