Joy Sumner

Individual provider Active NPI Contractor · Homerville, GA

NPI 1467976159 · NPPES record last updated Aug 3, 2017

Key facts

NPI
1467976159
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
191 Court Street
Homerville, GA 31634
Phone
(229) 444-1985
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor
Group: 193400000X SINGLE SPECIALTY GROUP
171W00000X Yes

Addresses

Primary practice location

191 Court Street
Homerville, GA 31634

Mailing address

191 Court St
Homerville, GA 31634-2445
Phone (229) 444-1985

Other providers in Homerville, GA

All providers in Homerville, GA · Contractor in Georgia

Sources for this page

Verify at the official NPI Registry.