Mark S Sumida, Md, Pc | |
2051b Hamill Rd Ste 107 Hixson TN 37343-4092 | |
(423) 877-4705 | |
Not Available |
Full Name | Mark S Sumida, Md, Pc |
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Speciality | Clinic/center - Primary Care |
Location | 2051b Hamill Rd Ste 107, Hixson, Tennessee |
Authorized Official Name and Position | Mark Sumida (PRESIDENT) |
Authorized Official Contact | 4238774705 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mark S Sumida, Md, Pc 2051b Hamill Rd Ste 107 Hixson TN 37343-4092 Ph: () - | Mark S Sumida, Md, Pc 2051b Hamill Rd Ste 107 Hixson TN 37343-4092 Ph: (423) 877-4705 |
NPI Number | 1083030738 |
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Provider Enumeration Date | 03/05/2014 |
Last Update Date | 03/05/2014 |
Identifier | Type | State | Issuer |
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1083030738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 28047 (Tennessee) | Primary |
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