Sarah Summers

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Hawkinsville, GA

NPI 1629463252 · NPPES record last updated Mar 31, 2015

Key facts

NPI
1629463252
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
S10821 (AL)
Practice address
531 Grovania Rd
Hawkinsville, GA 31036-9650
Phone
(478) 957-9854
NPI assigned
Mar 31, 2015
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

State licenses

LicenseStateTypeSpecialty
S10821ALMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X S10821 AL Yes

Addresses

Primary practice location

531 Grovania Rd
Hawkinsville, GA 31036-9650

Mailing address

531 Grovania Rd
Hawkinsville, GA 31036-9650

Other providers in Hawkinsville, GA

All providers in Hawkinsville, GA · Student in an Organized Health Care Education/Training Program in Georgia

Sources for this page

Verify at the official NPI Registry.