Summerall, Janna Marie
Summerall, Janna Marie is an individual health care provider with primary practice located at 3011 Hampton Ave , Brunswick GA 31520-4264. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Summerall, Janna Marie can be contacted via phone (912) 261-2669.Contact Information
Primary practice address
3011 Hampton Ave
Brunswick GA 31520-4264
Phone: (912) 261-2669
Fax: (912) 261-0561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME84750 | Florida |
Profile Details
| NPI number | 1306855200 |
|---|---|
| LBN Legal business name | Summerall, Janna Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2006 |
| Last updated | May 21st, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306855200 | NPPES |
| Georgia | MEDICAID | 282075677A |
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