| Randolph P. Sumner, Md, Family Medicine | |
|
100 John Maddox Dr Nw Rome GA 30165-1431 | |
| (2) - | |
| Not Available |
| Full Name | Randolph P. Sumner, Md, Family Medicine |
|---|---|
| Speciality | Pediatrics |
| Location | 100 John Maddox Dr Nw, Rome, Georgia |
| Authorized Official Name and Position | Mark Pickett (VP) |
| Authorized Official Contact | 2 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph P. Sumner, Md, Family Medicine 100 John Maddox Dr Nw Rome GA 30165-1431 Ph: (2) - | Randolph P. Sumner, Md, Family Medicine 100 John Maddox Dr Nw Rome GA 30165-1431 Ph: (2) - |
| NPI Number | 1346284171 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346284171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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