Individual
MS. JULIENNE ANNETTE SUMMERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
621 S MAIN ST STE 100, REIDSVILLE, NC 27320-5034
(336) 342-6880
Mailing address
621 S MAIN ST STE 100, REIDSVILLE, NC 27320-5034
(336) 342-6880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101517
NC
Other
Enumeration date
07/17/2006
Last updated
12/02/2022
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